考虑在围手术期麻醉环境中使用时钟绘画评分系统。
Considerations for Clock Drawing Scoring Systems in Perioperative Anesthesia Settings.
机构信息
From the Departments of Anesthesiology.
Clinical and Health Psychology, University of Florida College of Medicine and Public Health and Health Professions, Gainesville, Florida.
出版信息
Anesth Analg. 2019 May;128(5):e61-e64. doi: 10.1213/ANE.0000000000004105.
Abstract
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.
摘要
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。
相似文献
1
Considerations for Clock Drawing Scoring Systems in Perioperative Anesthesia Settings.考虑在围手术期麻醉环境中使用时钟绘画评分系统。
Anesth Analg. 2019 May;128(5):e61-e64. doi: 10.1213/ANE.0000000000004105.
2
Clock drawing in the Montreal Cognitive Assessment: recommendations for dementia assessment.画钟测验在蒙特利尔认知评估中的应用：用于痴呆评估的推荐。
Dement Geriatr Cogn Disord. 2011;31(3):179-87. doi: 10.1159/000324639. Epub 2011 Mar 10.
3
Interrater reliability of scores derived from two methods for scoring the clock drawing test.两种时钟绘图测试评分方法所得分数的评分者间信度。
Psychol Rep. 2006 Feb;98(1):39-42. doi: 10.2466/pr0.98.1.39-42.
4
Interrater reliability of three clock drawing test scoring systems.三种钟面画测试评分系统的评分者间信度。
Appl Neuropsychol. 2001;8(3):174-9. doi: 10.1207/S15324826AN0803_7.
5
Optimizing Clock Drawing Scoring Criteria: Development of the West Haven-Yale Clock Drawing Test.优化画钟测验评分标准：西方-耶鲁画钟测验的发展。
J Am Geriatr Soc. 2019 Oct;67(10):2129-2133. doi: 10.1111/jgs.16047. Epub 2019 Jul 9.
6
Clock Drawing Test and the diagnosis of amnestic mild cognitive impairment: can more detailed scoring systems do the work?画钟试验与遗忘型轻度认知障碍的诊断：更详细的评分系统能胜任这项工作吗？
J Clin Exp Neuropsychol. 2014;36(10):1076-83. doi: 10.1080/13803395.2014.977233. Epub 2014 Dec 8.
7
The Clock Drawing Test for dementia of the Alzheimer's type: A comparison of three scoring methods in a memory disorders clinic.阿尔茨海默病型痴呆的画钟测试：记忆障碍门诊中三种评分方法的比较
Int J Geriatr Psychiatry. 1997 Jun;12(6):619-27.
8
Agreement Between the Mini-Cog in the Preoperative Clinic and on the Day of Surgery and Association With Postanesthesia Care Unit Delirium: A Cohort Study of Cognitive Screening in Older Adults.术前门诊及手术当天简易认知筛查工具（Mini-Cog）与麻醉后护理单元谵妄的相关性：一项针对老年人认知筛查的队列研究
Anesth Analg. 2021 Apr 1;132(4):1112-1119. doi: 10.1213/ANE.0000000000005197.
9
The clock drawing test and questionable dementia: reliability and validity.钟表绘制测试与可疑痴呆：可靠性与有效性
Int J Geriatr Psychiatry. 2002 Nov;17(11):1048-54. doi: 10.1002/gps.747.
10
TEGEST as promising tool for assessing the risk of perioperative neurocognitive disorders.TEGEST 有望成为评估围手术期神经认知障碍风险的工具。
BMC Geriatr. 2024 Aug 28;24(1):713. doi: 10.1186/s12877-024-05302-9.
引用本文的文献
1
Predicting Postoperative Delirium in Older Patients Before Elective Surgery: Multicenter Retrospective Cohort Study.择期手术前老年患者术后谵妄的预测：多中心回顾性队列研究
JMIR Aging. 2025 Aug 19;8:e67958. doi: 10.2196/67958.
2
The Preoperative Phases of the Perioperative Cognitive Anesthesia Network for Older Adults Electing Surgery: Results From an Observational Cohort.老年择期手术患者围手术期认知麻醉网络的术前阶段：一项观察性队列研究结果
Anesth Analg. 2025 Mar 6. doi: 10.1213/ANE.0000000000007448.
3
Poor preoperative performance at Clock Drawing Test is associated with postoperative decline in olfaction in older patients: an observational pilot study.术前时钟绘画测试表现不佳与老年患者术后嗅觉下降相关：一项观察性初步研究。
BMC Anesthesiol. 2023 Aug 30;23(1):295. doi: 10.1186/s12871-023-02256-0.
4
Explainable automated evaluation of the clock drawing task for memory impairment screening.用于记忆障碍筛查的画钟任务的可解释自动评估。
Alzheimers Dement (Amst). 2023 May 22;15(2):e12441. doi: 10.1002/dad2.12441. eCollection 2023 Apr-Jun.
5
Explainable semi-supervised deep learning shows that dementia is associated with small, avocado-shaped clocks with irregularly placed hands.可解释的半监督深度学习表明，痴呆与小型、鳄梨形状的时钟有关，这些时钟的指针位置不规则。
Sci Rep. 2023 May 6;13(1):7384. doi: 10.1038/s41598-023-34518-9.
6
Variational autoencoder provides proof of concept that compressing CDT to extremely low-dimensional space retains its ability of distinguishing dementia.变分自编码器提供了一个概念验证，即将 CDT 压缩到极低维空间仍然保留其区分痴呆症的能力。
Sci Rep. 2022 May 14;12(1):7992. doi: 10.1038/s41598-022-12024-8.
7
The New Frontier of Perioperative Cognitive Medicine for Alzheimer's Disease and Related Dementias.围手术期认知医学在阿尔茨海默病及相关痴呆中的新前沿。
Neurotherapeutics. 2022 Jan;19(1):132-142. doi: 10.1007/s13311-021-01180-w. Epub 2022 Jan 27.
8
Parkinson's Disease Cognitive Phenotypes Show Unique Clock Drawing Features when Measured with Digital Technology.帕金森病认知表型在使用数字技术测量时具有独特的时钟绘图特征。
J Parkinsons Dis. 2021;11(2):779-791. doi: 10.3233/JPD-202399.
9
Rapid In-Person Cognitive Screening in the Preoperative Setting: Test Considerations and Recommendations from the Society for Perioperative Assessment and Quality Improvement (SPAQI).术前环境下的快速面对面认知筛查：围手术期评估与质量改进协会（SPAQI）的测试考量与建议
Perioper Care Oper Room Manag. 2020 Jun;19. doi: 10.1016/j.pcorm.2020.100089. Epub 2020 Jan 25.
10
Rapid in-person cognitive screening in the preoperative setting: Test considerations and recommendations from the Society for Perioperative Assessment and Quality Improvement (SPAQI).术前快速面对面认知筛查：围手术期评估与质量改进协会（SPAQI）的测试考量与建议
J Clin Anesth. 2020 Jun;62:109724. doi: 10.1016/j.jclinane.2020.109724. Epub 2020 Feb 1.
本文引用的文献
1
Clock Drawing Performance Slows for Older Adults After Total Knee Replacement Surgery.全膝关节置换术后老年人的画钟测验表现变慢。
Anesth Analg. 2019 Jul;129(1):212-219. doi: 10.1213/ANE.0000000000003735.
2
Preoperative Cognitive Stratification of Older Elective Surgical Patients: A Cross-Sectional Study.老年择期手术患者术前认知分层：一项横断面研究。
Anesth Analg. 2016 Jul;123(1):186-92. doi: 10.1213/ANE.0000000000001277.
3
A majority rule approach for region-of-interest-guided streamline fiber tractography.一种用于感兴趣区域引导的流线型纤维束成像的多数规则方法。
Brain Imaging Behav. 2016 Dec;10(4):1137-1147. doi: 10.1007/s11682-015-9474-5.
4
Preoperative assessment of the older patient: a narrative review.老年患者的术前评估：叙述性综述。
JAMA. 2014 May;311(20):2110-20. doi: 10.1001/jama.2014.4573.
5
Clock drawing in the Montreal Cognitive Assessment: recommendations for dementia assessment.画钟测验在蒙特利尔认知评估中的应用：用于痴呆评估的推荐。
Dement Geriatr Cogn Disord. 2011;31(3):179-87. doi: 10.1159/000324639. Epub 2011 Mar 10.
6
Screening for cognitive impairment in an elderly veteran population: acceptability and results using different versions of the Mini-Cog.在老年退伍军人人群中筛查认知障碍：使用 Mini-Cog 的不同版本的可接受性和结果。
J Am Geriatr Soc. 2011 Feb;59(2):309-13. doi: 10.1111/j.1532-5415.2010.03249.x.
7
The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment.蒙特利尔认知评估量表（MoCA）：一种用于轻度认知障碍的简易筛查工具。
J Am Geriatr Soc. 2005 Apr;53(4):695-9. doi: 10.1111/j.1532-5415.2005.53221.x.
8
Further analyses of clock drawings among demented and nondemented older subjects.对患有痴呆症和未患痴呆症的老年受试者的时钟绘图进行进一步分析。
Arch Clin Neuropsychol. 1996;11(3):193-205.
9
The Mini-Cog as a screen for dementia: validation in a population-based sample.作为痴呆筛查工具的简易认知评估量表：基于人群样本的验证
J Am Geriatr Soc. 2003 Oct;51(10):1451-4. doi: 10.1046/j.1532-5415.2003.51465.x.
10
The process approach to neuropsychological assessment of psychiatric patients.对精神科患者进行神经心理学评估的过程方法。
J Neuropsychiatry Clin Neurosci. 1990 Winter;2(1):72-87. doi: 10.1176/jnp.2.1.72.
Zotero 插件