Brodaty Henry, Low Lee-Fay, Gibson Louisa, Burns Kim
Academic Department for Old Age Psychiatry, Euroa Centre, Prince of Wales Hospital, Randwick, Australia.
Am J Geriatr Psychiatry. 2006 May;14(5):391-400. doi: 10.1097/01.JGP.0000216181.20416.b2.
The objective of this study was to review existing dementia screening tools with a view to informing and recommending suitable instruments to general practitioners (GPs) based on their performance and practicability for general practice.
A systematic search of pre-MEDLINE, MEDLINE, PsycINFO, and the Cochrane Library Database was undertaken. Only available full-text articles about dementia screening instruments written in English or with an English version were included. Articles using a translation of an English language instrument were excluded unless validated in a general practice, community, or population sample.
The General Practitioner Assessment of Cognition (GPCOG), Mini-Cog, and Memory Impairment Screen (MIS) were chosen as most suitable for routine dementia screening in general practice. The GPCOG, Mini-Cog, and MIS were all validated in community, population, or general practice samples, are easy to administer, and have administration times of 5 minutes or less. They also have negative predictive validity and misclassification rates, which do not differ significantly from those of the Mini-Mental Status Examination.
It is recommended that GPs consider using the GPCOG, Mini-Cog, or MIS when screening for cognitive impairment or for case detection.
本研究的目的是回顾现有的痴呆筛查工具，以便根据其在全科医疗中的性能和实用性，为全科医生提供信息并推荐合适的工具。
对MEDLINE之前、MEDLINE、PsycINFO和Cochrane图书馆数据库进行了系统检索。仅纳入以英文撰写或有英文版本的关于痴呆筛查工具的全文文章。除非在全科医疗、社区或人群样本中得到验证，否则排除使用英文工具翻译版本的文章。
全科医生认知评估（GPCOG）、简易认知筛查量表（Mini-Cog）和记忆损害筛查量表（MIS）被选为最适合全科医疗中常规痴呆筛查的工具。GPCOG、Mini-Cog和MIS均在社区、人群或全科医疗样本中得到验证，易于实施，实施时间为5分钟或更短。它们还具有阴性预测效度和错误分类率，与简易精神状态检查表相比无显著差异。
建议全科医生在筛查认知障碍或进行病例检测时考虑使用GPCOG、Mini-Cog或MIS。
