Effectiveness of a self-reporting yes/no survey for dementia screening-trial in Fukui, Japan.

Effectiveness of a self-reporting yes/no survey for dementia screening-trial in Fukui, Japan.
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DOI:
10.3389/fnagi.2022.1029614
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发表时间:
2022
影响因子:
4.8
通讯作者:
--
中科院分区:
医学2区
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--
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背景:对痴呆患者进行早期干预对预防痴呆极为重要。然而,到目前为止,尚不清楚什么样的筛查将有助于早期发现痴呆症。目的:本研究旨在调查在日本厚生劳动省制定的用于识别需要支持/护理的老年人的Kihon检查表中选择的简短自我报告是/否调查结果,以及日本福井痴呆预防小组制定的其他原始项目与简易精神状态检查(MMSE)评分之间的关系。并确定自我报告是/否调查的诊断功效。研究方法:对居住在日本福井、年龄≥65岁且没有日本长期护理保险的87,687名个体进行了自我报告是/否调查。根据调查结果,被选中的人被建议到当地医院进行MMSE评估。结果如下:无法通过查找电话号码拨打电话和在银行或自动柜员机(ATM)管理自己的存款和储蓄的个人患低MMSE评分的风险增加(≤23;比值比:2.74 [1.89-3.97]; 95%置信区间:2.12 [1.46-3.07])。结论:自我报告是/否调查可以有效地筛查痴呆。不能通过查找电话号码打电话,不能在银行或ATM机上管理自己的存款和储蓄是痴呆症的迹象。
Background: Early intervention for dementia patients is extremely important for the prevention of dementia. However, so far, it is not clear as to what kind of screening will be useful for the early detection of dementia. Objective: We aimed to investigate the relationship between the results of a short self-reporting yes/no survey selected in Kihon Checklist, developed by the Japanese Ministry of Health, Labor and Welfare to identify older adults who are at risk of requiring support/care, and other original items developed by Dementia Prevention Team, Fukui, Japan, and Mini-Mental State Examination (MMSE) scores, and determine the diagnostic efficacy of the self-reporting yes/no survey. Methods: Self-reporting yes/no surveys were conducted for 87,687 individuals aged ≥65 years, living in Fukui, Japan, and did not have Long-Term Care Insurance, Japan. According to the survey results, selected individuals were advised to visit a local hospital to be assessed with MMSE. Results: Individuals who could not make a call by looking up phone numbers and manage their own deposits and savings at the bank or automatic teller machine (ATM) had an increased risk of low MMSE score (≤23; odds ratio: 2.74 [1.89–3.97]; 95% confidence interval: 2.12 [1.46–3.07]). Conclusions: Self-reporting yes/no survey could effectively screen for dementia. Not being able to make a call by looking up phone numbers and not being able to manage their own deposits and savings at the bank or ATM are signs of dementia.
DOI: 10.3390/ejihpe12060040
发表时间: 2022-05-26
期刊: European journal of investigation in health, psychology and education
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