Using Informant and Performance Screening Methods to Detect Mild Cognitive Impairment and Dementia
Using Informant and Performance Screening Methods to Detect Mild Cognitive Impairment and Dementia
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DOI：
10.1007/s13670-018-0236-2
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发表时间：
2018-03-01
影响因子：
1.2
通讯作者：
Galvin, James E.
中科院分区：
文献类型：
--
作者：
Galvin, James E.
痴呆症在社区的检测是具有挑战性的。本文的目的是回顾痴呆症筛查的方法，并提供一种实用的算法来筛查痴呆症的各种临床设置。近年来，在研究、临床和社区样本中开发并验证了一些简短的绩效和基于信息的评估。这些评估现在由患者自我报告补充，提供了检测主观认知障碍的能力。痴呆筛查的最佳方法是结合表现、信息提供者和自我报告，其中许多可以在候诊室或由非医生工作人员在办公室访问开始之前完成。这些不同的信息可能有助于告知提供者是否存在认知障碍，协助对疾病的程度进行分期，并有助于制定鉴别诊断和管理计划。
Purpose of Review Dementia detection in the community is challenging. The purpose of this paper is to review methods of dementia screening and provide a useable algorithm for screening for dementia a variety of clinical settings.Recent Findings In recent years, a number of brief performance and informant-based assessments have been developed and validated in research, clinical, and community samples. These assessments are now complemented by patient self-reports that afford the ability to detect subjective cognitive impairment.Summary An optimal approach to dementia screening is to combine performance, informant, and self-reports, many of which can be completed in the waiting room or by non-physician staff prior to the start of the office visit. This diverse information may help inform the provider as to the presence or absence of a cognitive disorder, assist in staging the extent of the disorder, and help to develop a differential diagnosis and management plan.