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[两个评分系统的区分有效性和评分器之间的一致性用于时钟测试]

Teodoro Del Ser¹, Belén Frades¹, Meritxell Valentí-Soler¹

¹Unidad de Investigación Enfermedad de Alzheimer, Fundación CIEN. Instituto de Salud Carlos III, Madrid, España.

Revista espanola de geriatria y gerontologia

|September 6, 2023

概括

桑德兰和所罗门对时钟测试的评分系统在区分认知障碍方面表现出类似的区分有效性和评分者之间的可靠性. 在临床实践中,所罗门的方法因其简单和简洁而被推.

科学领域:

老年学是一门学科.
神经心理学神经心理学
临床诊断临床诊断临床诊断

背景情况:

时钟测试是广泛用于认知查的工具.
西班牙使用两个主要的分数系统:桑德兰和所罗门.
评估这些系统的比较性能对于准确的认知评估至关重要.

研究的目的:

为了比较桑德兰和所罗门分数系统的分辨器有效性和评分器间可靠性,用于时钟测试.
为了确定哪个系统更适合在西班牙临床应用.

主要方法:

使用了两个独立的数据集:临床样本 (116名参与者) 和志愿者队列 (579名参与者).
参与者被分为认知正常 (CN) 或认知受损 (CI).
专家评级人员使用两种评分系统评估时钟图纸;分辨器有效性以ROC曲线下的面积 (aROC) 测量,并通过类内相关系数 (ICC) 和kappa系数测量评级者之间的可靠性.

主要成果:

在任何样本中都没有发现桑德兰和所罗门系统之间的区分有效性有显著差异 (临床:aROC 0.73与0.77;志愿者:aROC 0.69与0.72).
这两种系统在临床样本中都表现出良好的评价者间可靠性 (桑德兰:ICC 0.90,kappa 0.76;所罗门:ICC 0.92,kappa 0.77).
截止点正确地分类了高比例的参与者 (桑德兰:71-82%;所罗门:73-84%).

结论:

桑德兰和所罗门时钟测试得分系统表现出可比的分辨器有效性和评级者之间的可靠性.
由于所罗门的方法更简单,更短,因此在常规临床使用中可能更实用.

关键词:

测试时钟测试时间认知评估是一种认知评估.认知障碍认知障碍是一种认知障碍.认知能力下降或认知能力下降诊断诊断诊断诊断诊断诊断的诊断的诊断的评价认知能力的评估测试时钟的时间.

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