THE TELEPHONE INTERVIEW FOR COGNITIVE STATUS (TICS) - RELIABILITY AND VALIDITY IN A STROKE SAMPLE
THE TELEPHONE INTERVIEW FOR COGNITIVE STATUS (TICS) - RELIABILITY AND VALIDITY IN A STROKE SAMPLE
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DOI：
10.1002/gps.930091006
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发表时间：
1994-10-01
影响因子：
4
通讯作者：
HANZAWA, L
中科院分区：
文献类型：
--
作者：
DESMOND, DW;TATEMICHI, TK;HANZAWA, L
认知状态电话访谈（TICS）是一项11项筛选测试（最高评分= 41分），用于评估不愿意或无法亲自接受检查的阿尔茨海默病患者的认知功能。 为了调查中风样本中TICS的1个月重测可靠性和有效性，我们通过电话对36名中风患者（年龄= 72.3 +/- 8.9;教育程度= 9.7 +/- 4.7）和36名无中风的非痴呆对照受试者（年龄= 71.8 +/- 6.8;教育程度= 13.1 +/- 4.1）进行了两次测试。 痴呆症的诊断在六个中风患者的基础上进行的神经心理和功能检查，在门诊访问和简易精神状态检查（MMSE）也给予。 多元回归分析确定卒中状态与TICS的表现显著相关（β =-0.26，p = 0.006），同时调整人口统计学变量。 在脑卒中患者中，重测信度极好（r = 0.90，p < 0.001），表现与MMSE评分显著相关（r = 0.86，p < 0.001）。 TICS临界评分< 25最能区分痴呆和非痴呆患者;灵敏度（1.00）和特异性（0.83）非常好，与MMSE的灵敏度（0.83）和特异性（0.87）相当，痴呆定义为评分< 24/30。 我们的结论是，TICS是一个可靠的精神状态测试，可以提供准确的信息，对中风患者的认知功能，不能评估的人。
The Telephone Interview for Cognitive Status (TICS) is an 11-item screening test (maximum score = 41 points) that was developed for the assessment of cognitive function in patients with Alzheimer's disease who are unwilling or unable to be examined in person. To investigate the 1-month test-retest reliability and validity of the TICS in a stroke sample, we administered it twice by telephone to 36 stroke patients (age = 72.3 +/- 8.9; education = 9.7 +/- 4.7) and 36 stroke-free non-demented control subjects (age = 71.8 +/- 6.8; education = 13.1 +/- 4.1). Dementia was diagnosed in six stroke patients based on neuropsychological and functional examinations performed during an outpatient visit and the Mini-Mental State Examination (MMSE) was also given. Multiple regression analyses determined that stroke status was significantly related to performance on the TICS (beta = -0.26, p = 0.006), while adjusting for demographic variables. Among stroke patients, test-retest reliability was excellent (r = 0.90, p < 0.001) and performance was significantly correlated with MMSE score (r = 0.86, p < 0.001). A TICS cutoff score < 25 best distinguished between demented and non-demented patients; sensitivity (1.00) and specificity (0.83) were excellent and comparable to the sensitivity (0.83) and specificity (0.87) of the MMSE, with dementia defined as a score < 24/30. We conclude that the TICS is a reliable mental status test that can provide accurate information regarding cognitive function in stroke patients who cannot be assessed in person.