Peset V, Puig C, Martínez-Ruiz E, Mazón J, Menéndez B, Lacruz-Ballester L, Lluch V, Lominchar-Espada J
Unidad de Demencias, Servicio de Neurología, Hospital General Universitario de Valencia, 46014, Valencia, Spain.
Rev Neurol. 2007;45(1):22-6.
The increasing number of foreign patients being attended in our health centres makes it necessary to have tests that are compatible among different countries, especially in Europe. The objective of this study is to compare the Eurotest with other screening tests and to determine whether there are any differences between European (other than Spanish) and Spanish patients.
We included patients who were referred because of complaints that were compatible with cognitive impairment and they were asked to carry out a protocol of tests that included the global deterioration scale (GDS), Folstein's MMSE (Mini-Mental State Examination), the Clock Test (CT) and the Eurotest. Epidemiological data were collected. The sample used in the study included 45 patients, 21 males and 24 females, with a mean age of 69.76 years; 34 were born in Spain and 11 abroad.
Diagnoses were 17 with mild cognitive impairment, 8 with Alzheimer's disease, 6 with age-associated impairment, 5 with vascular dementia, 5 with a psychiatric disorder, 1 with mixed dementia and 1 with dementia with Lewy bodies. The distribution according to the GDS was as follows: 10 with a GDS of 2, 18 with a GDS of 3, and 17 with a GDS of 4. All the patients with a GDS 2 completed the tests correctly, those with a GDS 3 scored below the cut-off point 5 for the Eurotest, 4 for the MMSE and 3 for CT, and in the GDS 4 they were 9, 7 and 6, respectively. Results did not vary between Spaniards and foreigners, the kappa index between MMSE and the Eurotest was 0.39 and the Pearson coefficient was 0.67.
The Eurotest was slightly more useful in patients with a greater degree of impairment.
在我们的健康中心就诊的外国患者数量不断增加，因此有必要采用不同国家间通用的检测方法，尤其是在欧洲。本研究的目的是将欧洲测试（Eurotest）与其他筛查测试进行比较，并确定欧洲（西班牙以外）患者和西班牙患者之间是否存在差异。
我们纳入了因认知障碍相关主诉前来就诊的患者，并要求他们执行一系列测试，包括总体衰退量表（GDS）、福尔斯坦简易精神状态检查表（MMSE）、时钟测试（CT）和欧洲测试（Eurotest）。收集了流行病学数据。该研究使用的样本包括45名患者，其中男性21名，女性24名，平均年龄69.76岁；34名出生于西班牙，11名出生于国外。
诊断结果为17例轻度认知障碍、8例阿尔茨海默病、6例与年龄相关的认知损害、5例血管性痴呆、5例精神障碍、1例混合性痴呆和1例路易体痴呆。根据GDS的分布如下：GDS为2的有10例，GDS为3的有18例，GDS为4的有17例。所有GDS为2的患者都正确完成了测试，GDS为3的患者在欧洲测试（Eurotest）中的得分低于临界值5，在MMSE中的得分低于临界值4，在CT中的得分低于临界值3，而GDS为4的患者在这三项测试中的得分分别为9、7和6。西班牙人和外国人之间的结果没有差异，MMSE和欧洲测试（Eurotest）之间的kappa指数为0.39，皮尔逊系数为0.67。
欧洲测试（Eurotest）在损伤程度较高的患者中略有用处。
