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在初级保健机构中对痴呆风险查工具的系统审查

Diana Matovic¹, Xiaojing Lei¹, Gabrielle Picard¹

¹Macquarie University Lifespan Health & Wellbeing Research Centre, Macquarie University, Sydney, Australia.

American journal of preventive medicine

|September 22, 2025

概括

这次审查发现,心血管风险因素,衰老和痴呆症 (CAIDE) 和大脑健康生活方式 (LBH) 工具对于查中年和老年人痴呆症风险是有效的. 对老年人和低收入国家需要进一步的研究.

科学领域:

老年学是一门学科.
公共卫生公共卫生
神经学神经学

背景情况:

在初级保健中对痴呆症风险查对于早期干预至关重要.
现有的选方法需要对可靠性,有效性,可接受性和可行性进行评估.
为了满足这些需求,进行了系统审查.

研究的目的:

对初级保健机构的痴呆风险查方法进行系统的审查和分析.
评估已识别的选工具的可靠性,有效性,可接受性和可行性.
为临床实践和未来研究提供建议.

主要方法:

从数据库创建到2024年9月出版的全文,同行评审的英语文章的系统审查.
在PubMed,MEDLINE,EMBASE,PsycINFO和COCHRANE中进行的搜索,以向后的雪球.
使用已知的工具评估偏差风险 (纽卡斯尔-太华,科克莱恩RoB V2,CASP).

主要成果:

在34项具有大量参与者的研究中,评估了11个经过验证的工具/分数.
大多数研究来自高收入国家;偏差风险一般较低.
心血管风险因素,衰老和痴呆症 (CAIDE) 和大脑健康生活方式 (LBH) 工具在中年和年轻的老年人 (<80岁) 中显示出可接受的有效性.

结论:

建议使用CAIDE和LBH工具在初级保健中对80岁以下的成年人进行痴呆风险查.
对于80岁及以上的成年人,需要进一步验证.
需要进行研究来评估低中等收入国家查工具的性能.

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