MDS COGNITIVE PERFORMANCE SCALE(C)
MDS COGNITIVE PERFORMANCE SCALE(C)
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DOI：
10.1093/geronj/49.4.m174
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发表时间：
1994-07-01
期刊：
影响因子：
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通讯作者：
LIPSITZ, LA
中科院分区：
文献类型：
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作者：
MORRIS, JN;FRIES, BE;LIPSITZ, LA
背景。慢性认知障碍是美国疗养院的一个主要问题，但大多数疗养院的传统评估系统仅包含有限的认知状态信息。根据 1987 年《综合和解法案》(OBRA '87) 中国会的授权，美国疗养院现已完成最低数据集 (MDS)，这是对每位居民的功能、医疗、心理社会和认知状态的标准化、全面评估。我们设计了认知表现量表（CPS），使用 MDS 数据将居民分配到易于理解的认知表现类别中。方法。信息来自三个数据集，包括为医疗保健融资管理局构建的两个多州数据集。MDS 认知表现变量的普遍性和可靠性是由经过培训的护理人员评估时确定的。将五个选定的 MDS 项目组合起来，创建单一的、具有功能意义的七类分层认知表现量表。结果。 CPS 量表与简易精神状态检查和严重损伤测试、定向障碍护理判断以及阿尔茨海默氏病和其他痴呆症的神经学诊断得出的分数密切相关。结论。新的 CPS 使用现成的 MDS 数据提供了认知表现的功能视图。对于临床医生和研究人员使用 MDS 来确定居民的认知资产来说，它应该是有用的。
Background. Chronic cognitive impairment is a major problem in U.S. nursing homes, yet traditional assessment systems in most facilities included only limited information on cognitive status. Following the Congressional mandate in the Omnibus Reconciliation Act of 1987 (OBRA '87), U.S. nursing homes now complete the Minimum Data Set (MDS), a standardized, comprehensive assessment of each resident's functional, medical, psychosocial, and cognitive status. We designed a Cognitive Performance Scale (CPS) that uses MDS data to assign residents into easily understood cognitive performance categories.Methods. Information was drawn from three data sets, including two multistate data sets constructed for the Health Care Financing Administration, The prevalence and reliability of the MDS cognitive performance variables were established when assessed by trained nursing personnel. Five selected MDS items were combined to create the single, functionally meaningful seven-category hierarchical Cognitive Performance Scale.Results. The CPS scale corresponded closely with scores generated by the Mini-Mental State Examination and the Test for Severe Impairment, nursing judgments of disorientation, and neurological diagnoses of Alzheimer's disease and other dementias.Conclusion. The new CPS provides a functional view of cognitive performance, using readily available MDS data. It should prove useful to clinicians and investigators using the MDS to determine a resident's cognitive assets.