Usefulness of the Japanese version of Rapid Dementia Screening Test for mild cognitive impairment in older patients with cardiovascular disease: a cross-sectional study.
Usefulness of the Japanese version of Rapid Dementia Screening Test for mild cognitive impairment in older patients with cardiovascular disease: a cross-sectional study.
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日本版痴呆快速筛查试验对老年心血管疾病患者轻度认知功能损害的诊断价值：一项横断面研究
DOI：
10.11909/j.issn.1671-5411.2021.04.001
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发表时间：
2021-04-28
期刊：
影响因子：
--
通讯作者：
Tanimura D
中科院分区：
文献类型：
--
作者：
Adachi T;Tsunekawa Y;Matsuoka A;Tanimura D
认知能力下降在患有心血管疾病（CVD）的老年患者中很常见，并且会降低他们的自我管理能力。然而，用于识别轻度认知功能障碍（MCI）的工具在临床实践中并不总是可行的。因此，本研究评估了是否可以使用日本版的快速痴呆筛查测试（RDST-J）检测MCI，这是一种用于识别认知衰退的简单筛查工具。这项回顾性单中心研究纳入了年龄≥ 65岁且因CVD住院的患者。住院前诊断为痴呆的患者被排除在外。在出院时，使用RDST-J和日本版的蒙特利尔认知评估（MoCA-J）（MCI筛查的标准工具）测量每位患者的认知功能。使用斯皮尔曼等级相关系数评价两个评分之间的相关性。受试者工作特征（ROC）分析也用于评估RDST-J是否可以识别MCI，MCI定义为MoCA-J评分≤ 25分。该研究纳入了78例患者（平均年龄：77.2 ± 8.9岁）。RDST-J评分与MoCA-J评分呈高度相关（r = 0.835，P < 0.001）。ROC分析显示，RDST-J评分≤ 9分，识别MCI的灵敏度为75.4%，特异性为95.2%，曲线下面积为0.899（95%CI：0.835 - 0.964）。当排除痴呆概率高的患者（RDST-J评分≤ 4分）时，确定了相同的临界值。 RDST-J可能是一个简单而有效的工具，以确定MCI的老年患者与CVD。
Cognitive decline is common among older patients with cardiovascular disease (CVD) and can decrease their self-management abilities. However, the instruments for identifying mild cognitive impairment (MCI) are not always feasible in clinical practice. Therefore, this study evaluated whether MCI could be detected using the Japanese version of the Rapid Dementia Screening Test (RDST-J), which is a simple screening tool for identifying cognitive decline. This retrospective single-center study included patients who were ≥ 65 years old and hospitalized because of CVD. Patients with a pre-hospitalization diagnosis of dementia were excluded. Each patient’s cognitive function had been measured at discharge using the RDST-J and the Japanese version of the Montreal Cognitive Assessment (MoCA-J), which is a standard tool for MCI screening. The correlation between the two scores was evaluated using Spearman’s rank correlation coefficient. Receiver operating characteristic (ROC) analysis was also to evaluate whether the RDST-J could identify MCI, which was defined as a MoCA-J score of ≤ 25 points. The study included 78 patients (mean age: 77.2 ± 8.9 years). The RDST-J and MoCA-J scores were strongly correlated (r = 0.835, P < 0.001). The ROC analysis revealed that an RDST-J score of ≤ 9 points provided 75.4% sensitivity and 95.2% specificity for identifying MCI, with an area under the curve of 0.899 (95% CI: 0.835−0.964). The same cut-off value was identified when excluding patients with a high probability of dementia (RDST-J score of ≤ 4 points). The RDST-J may be a simple and effective tool for identifying MCI in older patients with CVD.
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3.5
作者：
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