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Related Concept Videos

Dementia01:30

Dementia

434
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
434

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Related Experiment Video

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Assessing the Predictive Validity of Simple Dementia Risk Models in Harmonized Stroke Cohorts.

Eugene Y H Tang1, Christopher I Price1, Louise Robinson1

  • 1Population Health Sciences Institute, Newcastle University, Campus for Ageing and Vitality, Newcastle Upon Tyne, United Kingdom (E.Y.H.T., C.I.P., L.R., C.E.).

Stroke
|June 23, 2020
PubMed
Summary

Existing dementia risk prediction models for the general population show poor accuracy in stroke patients. New models are needed to accurately predict poststroke dementia risk.

Keywords:
agingdementiafollow-up studiesrisk factorsrisk prediction

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Area of Science:

  • Neurology
  • Epidemiology
  • Gerontology

Background:

  • Stroke survivors have an elevated risk of developing dementia.
  • Early identification of high-risk individuals is crucial for timely intervention.
  • Existing dementia prediction models are validated in the general population, not specifically in stroke patients.

Purpose of the Study:

  • To evaluate the predictive validity of general population dementia risk models in stroke patients.
  • To determine if existing models can accurately predict poststroke dementia.

Main Methods:

  • Harmonized data from four international stroke studies (Hong Kong, US, Netherlands, France).
  • Tested three models: Cardiovascular Risk Factors, Aging and Dementia (CAIDE) score, Australian National University Alzheimer Disease Risk Index (ANU-ADRI), and Brief Dementia Screening Indicator (BDSI).
  • Assessed model performance using C-statistic (area under the curve) and calibration tests.

Main Results:

  • Predictive accuracy varied and was generally low in stroke patients compared to original cohorts.
  • ANU-ADRI (C-statistic=0.66) and BDSI (C-statistic=0.61) performed better than CAIDE (AUC=0.53).
  • Models showed suboptimal discrimination for predicting poststroke dementia.

Conclusions:

  • General dementia risk models lack sufficient predictive validity for stroke patients.
  • Poor performance may stem from the need for stroke-specific or vascular risk factors.
  • Development of tailored, cost-effective poststroke dementia prediction models is warranted.