Ismail Zahinoor, Mulsant Benoit H, Herrmann Nathan, Rapoport Mark, Nilsson Magnus, Shulman Ken
Departments of Psychiatry and Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, AB; ; Department of Psychiatry, University of Toronto, Toronto, ON;
Can Geriatr J. 2013 Jun 3;16(2):54-60. doi: 10.5770/cgj.16.81. Print 2013.
The use of brief cognitive screening instruments is essential in the assessment of dementia. The purpose of this study is to determine the frequency of use and perceived characteristics of cognitive screening instruments among Canadian psychogeriatric clinicians.
Members of the Canadian Academy of Geriatric Psychiatry (CAGP) and attendees to the 2010 Annual Scientific Meeting were asked to complete a computerized survey. This survey assessed the perceived characteristics and frequency of use of 14 instruments.
The survey had a 55% response rate, with a total of 155 respondents. The most commonly used instruments are the Clock Drawing Test (CDT), Mini-Mental State Exam (MMSE), Montreal Cognitive Assessment (MoCA), and Delayed Word Recall. Effectiveness, ease of administration, and speed of administration were the perceived characteristics of instruments most correlated with frequency of use.
Consistent with previous surveys, a small number of cognitive screening instruments are used by the majority of clinicians. Use of the CDT and the MMSE were comparable. To our knowledge, this is the first survey demonstrating that the MMSE is not the most commonly used tool, and other, newer instruments like the MoCA, are gaining prominence.
使用简短认知筛查工具对于痴呆评估至关重要。本研究旨在确定加拿大老年精神科临床医生使用认知筛查工具的频率及对其特征的认知情况。
邀请加拿大老年精神病学学会（CAGP）成员及2010年年度科学会议参会者完成一项计算机化调查。该调查评估了14种工具的认知特征及使用频率。
调查回复率为55%，共有155名受访者。最常用的工具是画钟试验（CDT）、简易精神状态检查表（MMSE）、蒙特利尔认知评估量表（MoCA）和延迟词语回忆。有效性、易于实施和实施速度是与使用频率最相关的工具认知特征。
与之前的调查一致，大多数临床医生使用少数几种认知筛查工具。CDT和MMSE的使用情况相当。据我们所知，这是第一项表明MMSE并非最常用工具，而MoCA等其他更新的工具正日益受到重视的调查。
