University of Milan-Bicocca, Department of Clinical Medicine, Prevention and Sanitary Biotechnology, Division of Geriatrics, San Gerardo Hospital Monza, Italy.
Arch Gerontol Geriatr. 2009;49 Suppl 1:227-9. doi: 10.1016/j.archger.2009.09.033.
The progressive increase of prevalence and incidence of dementia require growing attention in identifying subjects with early cognitive impairment. We have evaluated the results of mini mental state examination (MMSE) and CDT in elderly patients affected by MCI and mild dementia and in subjects without cognitive impairment, to measure whether combined use of two well-known cognitive screening tests (MMSE, CDT) is useful to identify precociously subjects with possible MCI. Using the statistical model of binomial logistic regression we have pointed out that CDT better differentiates healthy controls from MCI patients. MMSE, on the contrary of CDT, differentiates MCI patients from subjects affected by dementia. Finally, during screening, administration of both CDT and MMSE can be useful to identify precociously subjects with possible MCI.
随着痴呆症患病率和发病率的逐渐增加,我们需要更加关注早期认知障碍患者的识别。我们评估了轻度认知障碍和轻度痴呆老年患者以及无认知障碍患者的简易精神状态检查(MMSE)和连线测验(CDT)的结果,以衡量联合使用两种著名认知筛查测试(MMSE、CDT)是否有助于早期识别可能的轻度认知障碍患者。使用二项逻辑回归统计模型,我们指出 CDT 能更好地区分健康对照组和 MCI 患者。相反,MMSE 能区分 MCI 患者和痴呆患者。最后,在筛查过程中,同时使用 CDT 和 MMSE 可以有助于早期识别可能的 MCI 患者。