Cognitive Assessment of Patients With Alzheimer's Disease by Telemedicine: Pilot Study
Cognitive Assessment of Patients With Alzheimer's Disease by Telemedicine: Pilot Study
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DOI：
10.2196/mental.8097
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发表时间：
2018-05-11
影响因子：
5.2
通讯作者：
Amenta, Francesco
中科院分区：
文献类型：
--
作者：
Carotenuto, Anna;Rea, Raffaele;Amenta, Francesco
背景：全世界约有4680万人患有痴呆症，这一数字在未来几年还会增长。任何可能的治疗都应尽早实施，因为提供早期认知评估和定期监测患者的精神功能非常重要。信息和通信技术可以帮助接触和跟踪患者，而不会取代他们，但远程医疗进行的认知测试的可靠性可能存在疑问。目的：本研究的目的是评估迷你精神状态检查（MMSE）和阿尔茨海默病评估量表认知亚量表（ADAS-cog）测试在医院通过视频会议对轻中度阿尔茨海默病患者进行的可靠性。方法：对意大利那不勒斯A Cardarelli国立医院阿尔茨海默病科招募的28例阿尔茨海默病门诊患者（8例男性，平均年龄73.88岁，SD 7.45岁；20例女性，平均年龄76.00岁，SD 5.40岁）进行试验，随访时间为基线和6、12、18和24个月。首先由一位心理学家对患者进行面对面的评估，两周后，另一位心理学家在医院通过视频会议对患者进行评估。结果：本研究显示，面对面或通过视频会议进行测试时，MMSE和ADAS-cog评分没有差异，除了更明显的认知缺陷（MMSE）患者
Background: Approximately 46.8 million people are living with dementia worldwide and their number will grow in the next years. Any potential treatment should be administered as early as possible because it is important to provide an early cognitive assessment and to regularly monitor the mental function of patients. Information and communication technologies can be helpful to reach and follow patients without displacing them, but there may be doubts about the reliability of cognitive tests performed by telemedicine.Objective: The purpose of this study was to evaluate the reliability of the Mini Mental State Examination (MMSE) and the Alzheimer's Disease Assessment Scale cognitive subscale (ADAS-cog) tests administered in hospital by videoconference to patients with mild to moderate Alzheimer's disease.Methods: The tests were administered to 28 Alzheimer's disease outpatients (8 male, mean age 73.88, SD 7.45 years; 20 female mean age 76.00, SD 5.40 years) recruited and followed in the Alzheimer's Unit of the A Cardarelli National Hospital (Naples, Italy) at baseline and after 6, 12, 18, and 24 months of observation. Patients were evaluated first face-to-face by a psychologist and then, after 2 weeks, by another psychologist via videoconference in hospital.Results: This study showed no differences in the MMSE and ADAS-cog scores when the tests were administered face-to-face or by videoconference, except in patients with more pronounced cognitive deficits (MMSE