认知查为患有的儿童进行神经心理评估的转诊提供了信息
Kristina E Patrick1,2,3, Allison N Shields2, Holly A Dustin1,4
1Department of Neuropsychology, Nationwide Children's Hospital, Columbus, Ohio, USA.
Epilepsia
|April 26, 2025
概括
简短的认知查测试可以改善患有的儿童的神经心理学转诊. 这些基于绩效的措施为识别需要进一步神经认知评估的儿童提供了有价值的,低资源的支持.
科学领域:
- 儿科神经学 儿科神经学
- 神经心理学 神经心理学
- 认知评估 认知评估
背景情况:
- 目前神经心理学对患有的儿童的转诊方法可能缺乏效率.
- 客观评估对于识别这一群体的认知障碍至关重要.
研究的目的:
- 为了评估当前的神经心理学的推实践为儿科.
- 制定使用认知查工具来增强推流程的建议.
主要方法:
- 对比了被转介到神经心理学的儿童与未被转介的儿童.
- 管理基于平板电脑的认知查测试 (NIH工具箱) 和全面的神经心理学电池.
- 收集的人口,医疗和家长报告的数据.
主要成果:
- 转诊组在综合测试中平均表现较差,但认知障碍的患病率没有差异.
- 认知查测试显著预测了全面评估的表现,解释了31%的额外差异.
- 一个简短的3个测试查方案显示了识别认知缺陷的高灵敏度和特异性.
结论:
- 基于绩效的认知查可以增加价值,并减少神经心理学转诊决定中的偏见,对于患有的儿童.
- 包括查在内的综合模型可以优化综合评估.
- 认知查提供了一种资源高效的方法,用于告知转诉决策.
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