Clarnette Roger, Goh Ming, Bharadwaj Sneha, Ryan Jillian, Ellis Suzanne, Svendrovski Anton, Molloy D William, O'Caoimh Rónán
a School of Medicine and Pharmacology , University of Western Australia , Crawley , Australia.
b Department of Community and Geriatric Medicine , Fremantle Hospital and Health Service , Fremantle , Australia.
Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2019 May;26(3):336-347. doi: 10.1080/13825585.2018.1439447. Epub 2018 Feb 15.
Accurate detection of mild cognitive impairment (MCI) is important to stratify and address risk. Yet, few short cognitive screening instruments are validated for this. . In Australia, all clients referred to an Aged Care Assessment Team (ACAT) receive comprehensive geriatric assessment (CGA) including the Standardized Mini-Mental State Examination (SMMSE). We compared the accuracy of the quick mild cognitive impairment (Qmci) screen to the SMMSE in 283 participants: 195 with dementia, 47 with MCI, and 41 with subjective cognitive decline (SCD) in an Australian community-based ACAT. Both had similar accuracy in identifying dementia, AUC of 0.86 for the Qmci versus 0.93 for the SMMSE (p = 0.10), but the Qmci was more accurate than the SMMSE in differentiating MCI from SCD, AUC of 0.84 versus 0.71, respectively, p = 0.046. These suggest that the new, short (3-5 min) Qmci screenis appropriate for use in an ACAT or other units conducting CGA.
准确检测轻度认知障碍（MCI）对于分层和应对风险至关重要。然而，很少有简短的认知筛查工具能为此得到验证。在澳大利亚，所有被转介到老年护理评估团队（ACAT）的客户都接受包括标准化简易精神状态检查（SMMSE）在内的综合老年评估（CGA）。我们在283名参与者中比较了快速轻度认知障碍（Qmci）筛查与SMMSE的准确性：195名患有痴呆症，47名患有MCI，41名患有主观认知下降（SCD），这些参与者来自澳大利亚一个以社区为基础的ACAT。两者在识别痴呆症方面的准确性相似，Qmci的曲线下面积（AUC）为0.86，而SMMSE为0.93（p = 0.10），但在区分MCI与SCD方面，Qmci比SMMSE更准确，AUC分别为0.84和0.71，p = 0.046。这些结果表明，新的、简短的（3 - 5分钟）Qmci筛查适用于ACAT或其他进行CGA的单位。
