From the Departments of Anesthesiology.
Clinical and Health Psychology, University of Florida College of Medicine and Public Health and Health Professions, Gainesville, Florida.
Anesth Analg. 2019 May;128(5):e61-e64. doi: 10.1213/ANE.0000000000004105.
The Clock Drawing Test is a cognitive screening tool gaining popularity in the perioperative setting. We compared 3 common scoring systems: (1) the Montreal Cognitive Assessment; (2) the Mini-Cog; and (3) the Libon scale. Three novice raters acquired interrater and intrarater reliability for each scoring system and then scored 738 preoperative clock drawings with each scoring system. Final scores correlated with each other but with notable discrepancies, indicating the need to attend to interrater and intrarater reliability when implementing any scoring approach in a clinical setting.
画钟测验是一种认知筛查工具，在围手术期环境中越来越受欢迎。我们比较了 3 种常见的评分系统：（1）蒙特利尔认知评估；（2）迷你认知评估；和（3）利邦量表。3 名新手评估者获得了每个评分系统的组内和组间可靠性，然后使用每个评分系统对 738 份术前画钟图纸进行了评分。最终得分相互关联，但存在明显差异，这表明在临床环境中实施任何评分方法时都需要注意组内和组间可靠性。
