公共卫生 公共卫生
Rapas Samalapa1, Natthaphon Ubonsutvanich1, Aisawan Petchlorlian1,2
1Geriatric Excellence Center, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
一个新的基于语音的测试,SAMONG,有效地选老年泰国成年人的痴呆症. 这种可访问的工具显示出极好的准确性,有可能改善认知健康评估并减少医疗保健负担.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 由于人口老龄化,全球痴呆症的患病率正在上升.
- 泰国认知衰退查率较低,受到医疗保健专业人员短缺和有限的专业服务的阻碍.
- 为改善可访问性,开发了一种基于语音的,针对老年人群 (SAMONG) 的记忆,定向和流感的自我管理测试.
研究的目的:
- 评估SAMONG测试在老年泰国成年人中识别痴呆症的诊断准确性.
- 评估基于网络的语音激活认知查工具的有效性.
- 确定SAMONG在提高痴呆症查可访问性方面的潜力.
主要方法:
- 一项横截面研究招募了60岁以上的成年人,他们被老年医生诊断为患有或没有痴呆症 (DSM-5标准,CDR).
- 参与者在标准化的环境中完成了SAMONG测试 (注册,定向,水果流利,回忆3个单词).
- 使用ROC/AUC分析诊断性能;通过布兰德-阿尔特曼分析将自动解释的准确性与人类解释进行比较.
主要成果:
- 萨蒙格的诊断准确度很高,AUC总值为0.899.
- 最优的切断分数≥2/5产生了97%的灵敏度和72%的特异性.
- 单单水果流动性表现强 (AUC 0.884),截止值≥10,产生79%的灵敏度和85%的特异性.
结论:
- 在泰国老年人的痴呆症查中,SAMONG表现出卓越的诊断准确性.
- 该测试的可访问性和有前途的性能表明,在各种环境中可能会得到更广泛的实施.
- SAMONG可以提高认知查效率,减少医疗保健系统的压力.
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