使用CogEvo对轻度认知障碍的评估:一种计算机化认知功能评估工具
Toru Satoh1, Yoichi Sawada2, Hideaki Saba1
1Ryofukai Satoh Neurosurgical Hospital, Fukuyama, Hiroshima, Japan.
Journal of primary care & community health
|March 20, 2024
概括
计算机化认知评估工具CogEvo有效地选轻度认知障碍,与迷你精神状态检查 (MMSE) 不同,没有天花板或教育偏见. 在初级保健机构中,CogEvo检测与年龄相关的认知衰退和损伤.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 轻度认知障碍 (MCI) 在老年人群中越来越令人担忧.
- 早期发现MCI对于及时干预和管理至关重要.
- 目前的查工具,如迷你心理状态考试 (MMSE) 有局限性,包括天花板效应和教育偏见.
研究的目的:
- 评估CogEvo的实用性,这是一个计算机化的认知功能评估工具,作为MCI的初级保健查工具.
- 探索由MMSE测量的CogEvo性能,年龄和认知功能障碍严重程度之间的关系.
- 评估CogEvo对认知功能障碍的预测准确度.
主要方法:
- 这是一项涉及209人 (平均年龄为79.4岁) 的观察性,横截面研究.
- 对CogEvo和MMSE分数之间的相关性分析.
- 在MMSE定义的三个认知功能组 (MMSE ≥28,MMSE 24-27,MMSE ≤23) 中,对CogEvo性能进行比较.
- 接收器操作特征 (ROC) 分析以确定预测准确性.
主要成果:
- 随着年龄的增长,CogEvo和MMSE得分都显著下降.
- 在CogEvo和MMSE得分之间发现了显著的正相关性.
- 科格埃沃在各认知群体之间显示出显著的差异,包括定向和空间功能,没有教育偏见.
- ROC分析显示,认知群体之间存在中度的歧视.
结论:
- 在初级保健中,CogEvo是一种有价值的MCI查工具.
- 与MMSE不同,CogEvo避免了天花板效应和教育偏差.
- CogEvo有效地识别了与年龄相关的认知衰退和损伤.
相关概念视频
Alzheimer's Disease: Overview
475
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
475
Alzheimer's Disease: Treatment
186
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
186
Dementia
113
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....
The progression of dementia is generally gradual....
113
Negative and Cognitive Symptoms of Schizophrenia
48
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
48
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
Cognitive Development During Adulthood
98
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
98


