对认知脆弱的评估工具的系统审查:使用,心理测量特性和临床实用性
Kate Dobie1, Christopher J Barr1, Stacey George2
1Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide, 5001, South Australia, Australia.
The Journal of frailty & aging
|March 10, 2025
概括
认知虚弱 (CF) 评估缺乏黄金标准,导致各种诊断工具和不一致的报告. 这影响了对这种关键疾病的患病率和干预策略的理解.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 认知虚弱 (CF) 结合了身体虚弱和认知障碍,而不是痴呆症.
- 由于相关的不良健康结果,早期识别CF至关重要.
- 缺乏诊断黄金标准阻碍了CF评估.
研究的目的:
- 确定用于诊断CF认知障碍的工具.
- 评估这些评估工具的心理测量特性和临床实用性.
主要方法:
- 在六个数据库 (2013-2024) 中进行系统的文献搜索.
- 纳入标准:研究定义CF,命名评估工具,并说明截止值.
- 分析了116项符合条件的研究.
主要成果:
- 在认知评估工具和CF诊断的切断分数中存在显著的异质性.
- 主要使用的是迷你心理状态检查,蒙特利尔认知评估和临床痴呆症评分.
- 确定了11种用于身体脆弱性评估的工具,其中脆性指数和FRAIL尺度是最常见的.
结论:
- 诊断工具的变化会在CF报告中产生不一致.
- 这种不一致可能会影响流行率估计和干预策略的有效性.
- 评估工具的标准化是必要的,以改善认知脆弱的理解和管理.
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