临床表现 临床表现
Nusha Kheradbin1, Liliana Guadagno1, Scott Selinger1
1UT Austin Dell Medical School, Austin, TX, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 24, 2025
概括
快速轻度认知障碍 (Qmci) 屏幕准确地识别了初级保健中的轻度认知障碍 (MCI). 这个简短的认知测试显示了在老年人中检测MCI的良好的灵敏度.
科学领域:
- 老年学是一门学科.
- 认知神经科学 认知神经科学
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 由于时间限制,简短的认知查测试在初级保健中至关重要.
- 现有的简短措施在检测轻度认知障碍 (MCI) 时往往缺乏敏感性.
- 快速轻度认知障碍 (Qmci) 屏幕是一种新的工具,旨在快速进行认知评估.
研究的目的:
- 为了评估Qmci屏幕的有效性.
- 确定Qmci在初级保健机构中识别MCI患者的准确性.
主要方法:
- 107名没有痴呆症的老年人完成了Qmci和神经心理测试电池 (NTB).
- Qmci包括面向,记忆和执行功能的子测试.
- 接收器操作曲线分析评估了Qmci的分类准确性.
主要成果:
- Qmci显示曲线下的统计学显著面积 (AUC) 为0.75.
- 最佳切断分数<72产生了87%的灵敏度和57%的特异性.
- 基于记忆诊所的切线值<67显示了93%的灵敏度,但只有30%的特异性.
结论:
- 在老年人中,Qmci屏幕表现出足够的准确性来检测MCI.
- Qmci是初级保健机构认知查的一个有前途的工具.
相关概念视频
Chronic Kidney Disease II: Clinical Manifestations
520
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
520
Coronary Artery Disease III: Clinical Manifestations
299
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
299
Endocarditis II: Clinical Features of Infective Endocarditis
364
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
364
Heart Failure III: Clinical Manifestations
436
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
436
Gastroesophageal Reflux Disease II: Clinical Features and Management
652
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
652
Hypertension III: Clinical Manifestations and Diagnostic Studies
437
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
437


