痴呆症护理研究和心理社会因素
Deborah E Barnes1, Leah Karliner1, Abisola Idu2
1University of California, San Francisco, San Francisco, CA, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
许多老年人有未诊断的认知障碍,包括痴呆症和轻度认知障碍 (MCI). 使用eRADAR算法进行的有针对性的查确定了高风险个人进行评估,其中约一半显示出认知障碍的迹象.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 很大一部分痴呆症和轻度认知障碍 (MCI) 病例仍未被诊断出来,阻碍了及时获得护理的机会.
- 通过使用电子健康记录 (EHR) 数据 (C统计:0.790.84),eRADAR算法有效地识别出患有未诊断痴呆症的风险患者.
研究的目的:
- 通过eRADAR算法评估针对性痴呆症查对痴呆症检测率和患者结果的影响.
- 评估实用性临床试验在识别有认知障碍风险的个人的有效性.
主要方法:
- 嵌入式实用临床试验是在凯泽永久华盛顿 (KPWA) 和UCSF进行的.
- 65岁以上的高eRADAR分数的参与者被随机分配到通常的护理或涉及"大脑健康"评估的干预.
- 评估包括功能状态,抑郁症状和认知功能,结果与参与者和PCP分享.
主要成果:
- 大约有3417名 (KPWA) 和1271名 (UCSF) 高风险患者被随机分组.
- 评估访问的完成率各不相同,在老年人,黑人,亚洲人和西班牙语人士中观察到较低的完成率.
- 在完成访问的人中,大约一半的结果表明未被诊断的认知障碍 (17-21%可能患有痴呆症,31-32%MCI).
结论:
- 使用eRADAR的有针对性的查发现了大量的老年人具有潜在的未被诊断的认知障碍.
- 需要进一步的研究,以了解和解决患者接受评估访问的差异.
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