圣路易斯大学精神状态检查、简易精神状态检查和蒙特利尔认知评估在中国老年医学科老年人认知障碍中的比较。
Comparison of the Saint Louis University Mental Status Examination, the Mini-Mental State Examination, and the Montreal Cognitive Assessment in detection of cognitive impairment in Chinese elderly from the geriatric department.
机构信息
Geriatric Department, West China Hospital, Sichuan University, Chengdu, China.
出版信息
J Am Med Dir Assoc. 2012 Sep;13(7):626-9. doi: 10.1016/j.jamda.2012.05.003. Epub 2012 Jun 13.
INTRODUCTION
The Saint Louis University Mental Status (SLUMS) examination is a popular screening scale for cognitive impairment in North America but has not been studied in Chinese populations. The aim of this study is to compare consistency of the SLUMS with the Chinese version of Mini-Mental Status Examination (CMMSE) and the Beijing version of Montreal Cognitive Assessment (MoCA-B) in Chinese elderly.
METHODS
Two hundred seventy-eight Chinese elderly with chronic diseases and geriatric syndromes from the geriatrics department were screened for cognitive impairment, including dementia and mild cognitive impairment, using SLUMS, CMMSE, and MoCA-B. The modified education level cutoff in the diagnostic criteria of SLUMS (mSLUMS) was explored. Scores of the scales and classifications for cognitive status by them were compared using Spearman and κ statistics, respectively.
RESULTS
Spearman correlation coefficient between scores of the scales were 0.747 (SLUMS vs CMMSE, P < .001), 0.839 (SLUMS vs MoCA-B, P < .001), and 0.773 (CMMSE vs MoCA-B, P < .001). For detection of dementia, κ values were 0.462 (SLUMS vs CMMSE, P < .000) and 0.484 (mSLUMS vs CMMSE, P < .000). For mild cognitive impairment, κ values were 0.123 (SLUMS vs CMMSE plus MoCA-B in parallel, P = .089) and 0.148 (mSLUMS vs CMMSE plus MoCA-B in parallel, P = .031). For all cognitive impairment, κ values were 0.562 (SLUMS vs MoCA-B, P < .000) and 0.650 (SLUMS vs MoCA-B, P < .000).
CONCLUSION
Findings from our study indicate that the scores of SLUMS are fairly consistent with MoCA-B and CMMSE in Chinese elderly. Discrepancies of classifications for cognitive status by SLUMS and the other 2 scales implies that further work is needed to explore optimal cutoffs of SLUMS for screening mild cognitive impairment and dementia in elderly Chinese.
简介
圣路易斯大学精神状态检查（SLUMS）是北美常用的认知障碍筛查量表，但尚未在中文人群中进行研究。本研究旨在比较 SLUMS 与中文简易精神状态检查（CMMSE）和北京版蒙特利尔认知评估（MoCA-B）在老年华人中的一致性。
方法
从老年科筛选出 278 名患有慢性病和老年综合征的老年华人，使用 SLUMS、CMMSE 和 MoCA-B 筛查认知障碍，包括痴呆和轻度认知障碍。探讨了 SLUMS 诊断标准中改良的教育水平截断值（mSLUMS）。使用 Spearman 和 κ 统计分别比较了这些量表的评分和认知状态的分类。
结果
量表评分之间的 Spearman 相关系数为 0.747（SLUMS 与 CMMSE，P<.001）、0.839（SLUMS 与 MoCA-B，P<.001）和 0.773（CMMSE 与 MoCA-B，P<.001）。对于痴呆的检测，κ 值分别为 0.462（SLUMS 与 CMMSE，P<.000）和 0.484（mSLUMS 与 CMMSE，P<.000）。对于轻度认知障碍，κ 值分别为 0.123（SLUMS 与 CMMSE 和 MoCA-B 平行，P=.089）和 0.148（mSLUMS 与 CMMSE 和 MoCA-B 平行，P=.031）。对于所有认知障碍，κ 值分别为 0.562（SLUMS 与 MoCA-B，P<.000）和 0.650（SLUMS 与 MoCA-B，P<.000）。
结论
本研究结果表明，SLUMS 评分与 MoCA-B 和 CMMSE 在老年华人中相当一致。SLUMS 与其他 2 种量表的认知状态分类差异表明，需要进一步研究以探索 SLUMS 筛查老年华人轻度认知障碍和痴呆的最佳截断值。
Zotero 插件