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Practical application of brief cognitive tests.

J Olazarán1, M C Hoyos-Alonso2, T del Ser3

  • 1Servicio de Neurología, Hospital General Universitario Gregorio Marañón, Madrid, España.

Neurologia (Barcelona, Spain)
|September 19, 2015
PubMed
Summary
This summary is machine-generated.

Brief cognitive tests (BCT) aid in detecting cognitive impairment (CI). Fototest, MIS, and MMSE are recommended for primary care, with others for stepwise assessment, improving CI detection alongside informant questionnaires.

Keywords:
Atención especializadaAtención primariaBrief cognitive testsCognitive impairmentCribadoDetecciónDetectionDeterioro cognitivoPrimary careScreeningSpecialised careTest cognitivos breves

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Area of Science:

  • Neurology
  • Geriatrics
  • Psychometry

Background:

  • Brief cognitive tests (BCT) are crucial for detecting cognitive impairment (CI) in clinical settings.
  • Despite the availability of validated BCT in Spain, specific usage recommendations are lacking.

Purpose of the Study:

  • To review the diagnostic accuracy of BCT for CI.
  • To provide evidence-based recommendations for BCT use in Spain.

Main Methods:

  • Systematic review of diagnostic accuracy studies for BCT in Spain.
  • Focus on BCT with administration times under 20 minutes.
  • Recommendations based on expert consensus and study findings.

Main Results:

  • Fototest, Memory Impairment Screen (MIS), and Mini-Mental State Examination (MMSE) are preferred for primary care.
  • Clock Drawing Test (CDT) and verbal fluency tests (TVF) can be used in a stepwise approach.
  • Informant questionnaires (IQ) enhance BCT accuracy for CI detection.

Conclusions:

  • BCT selection depends on patient factors, clinician experience, and time constraints.
  • Specialized care may involve comprehensive assessments or stepwise approaches with various BCTs.
  • BCTs and IQs should complement, not replace, clinical judgment and communication.