The University of Western Ontario, London, Ontario.
Can J Aging. 2012 Sep;31(3):295-311. doi: 10.1017/S0714980812000220. Epub 2012 Aug 9.
Early detection of dementia is essential to guide front-line health care practitioners in further clinical evaluations and treatments. There is a paucity of literature assessing the effectiveness of screening tools to predict the development of dementia, thus we conducted a systematic review to fill this gap. The purpose of the systematic review was to make recommendations to health care practitioners on which screening tool best predicts the development of dementia and is most feasible in the primary care setting. Ten databases were searched for relevant articles, yielding 751 papers. Of these, 12 met relevance criteria for inclusion. Screening tools were assessed for test accuracy, cognitive domain coverage, predictive ability, and feasibility. Four screening tools were recommended. Addenbrooke's Cognitive Examination (ACE) was considered to be the ideal tool. A revised version of this tool is now used in clinical practice but the psychometric properties of the ACE-R remain to be established.
早期发现痴呆症对于指导一线医疗保健从业者进行进一步的临床评估和治疗至关重要。目前评估筛查工具预测痴呆症发展的有效性的文献很少，因此我们进行了一项系统评价来填补这一空白。系统评价的目的是向医疗保健从业者提出建议，即哪种筛查工具最能预测痴呆症的发展，并且在初级保健环境中最可行。我们在十个数据库中搜索了相关文章，共产生了 751 篇论文。其中，有 12 篇符合纳入标准。对筛查工具的检测准确性、认知领域覆盖范围、预测能力和可行性进行了评估。推荐了四种筛查工具。阿登布鲁克认知测验（ACE）被认为是理想的工具。现在在临床实践中使用了该工具的修订版本，但 ACE-R 的心理测量特性仍有待确定。
