南美洲低教育人口中痴呆症的简要认知查工具:系统性审查
Diego Chambergo-Michilot1, Nilton Custodio2, Rosa Montesinos2,3
1Universidad Científica del Sur, Lima, Peru.
Dementia and geriatric cognitive disorders
|September 29, 2025
概括
这项系统性审查发现,MMSE和RUDAS等简短的认知查工具在南美洲的痴呆症中显示出很好的准确性. 然而,对于受教育程度低的人群,需要进行调整.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 拉丁美洲的教育程度较低的流行率很高.
- 缺乏对拉丁美洲文盲和低教育成年人简短认知查 (BCS) 工具的系统审查.
- 在这些人群中识别痴呆症至关重要.
研究的目的:
- 系统地审查用于南美文盲和低教育成年人痴呆症查的简短认知测试.
- 评估已识别的工具的诊断准确性.
主要方法:
- 按照PRISMA和Cochrane指南进行系统审查.
- 在PubMed,Scopus,Web of Science和Embase搜索到2023年9月.
- 包括观察性研究报告的诊断准确度指标的痴呆查工具在低教育/文盲南美成年人.
主要成果:
- 确定了17个简短的认知查 (BCS) 工具,通常适应当地语言.
- 迷你精神状态检查 (MMSE) 和罗兰普世痴呆症评估尺度 (RUDAS) 是常见的,并显示出良好的诊断准确性.
- 报告的灵敏度和特异性一般高于90%,ROC AUC>0.95.
结论:
- 在南美洲的文盲和低教育成年人中检测痴呆症的切断点需要对大多数BCS工具进行调整.
- 对这一群体来说,开发特定于区域的,敏感的和功能性的认知电池是必不可少的.
相关概念视频
Dementia
523
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....
523
Cognitive Development During Adulthood
780
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,...
780


