Ortega Luciane de Fátima Viola, Aprahamian Ivan, Borges Marcus Kiiti, Cação João de Castilho, Yassuda Mônica Sanches
Universidade Estadual de Campinas, Faculdade de Ciências Médicas, Programa de Pós-Graduação em Gerontologia, Campinas SP, Brasil.
Faculdade de Medicina de Jundiaí, Grupo de Investigação em Multimorbidades e Saúde Mental em Idosos, Disciplina de Geriatria e Gerontologia, Jundiaí SP, Brasil.
Arq Neuropsiquiatr. 2019 May 13;77(4):279-288. doi: 10.1590/0004-282X20190024.
Cognitive screening instruments are influenced by education and/or culture. In Brazil, as illiteracy and low education rates are high, it is necessary to identify the screening tools with the highest diagnostic accuracy for Alzheimer's disease (AD).
To identify the cognitive screening instruments applied in the Brazilian population with greater accuracy, to detect AD in individuals with a low educational level or who are illiterate.
Systematic search in SciELO, PubMed and LILACS databases of studies that used cognitive screening tests to detect AD in older Brazilian adults with low or no education.
We found 328 articles and nine met the inclusion criteria. The identified instruments showed adequate or high diagnostic accuracy.
For valid cognitive screening it is important to consider sociocultural and educational factors in the interpretation of results. The construction of specific instruments for the low educated or illiterate elderly should better reflect the difficulties of the Brazilian elderly in different regions of the country.
认知筛查工具会受到教育和/或文化的影响。在巴西，由于文盲率和低教育率较高，有必要确定对阿尔茨海默病（AD）诊断准确性最高的筛查工具。
确定在巴西人群中应用的、具有更高准确性的认知筛查工具，以检测低教育水平或文盲个体中的AD。
在SciELO、PubMed和LILACS数据库中系统检索使用认知筛查测试来检测巴西低教育水平或无教育水平的老年成年人中AD的研究。
我们找到328篇文章，其中9篇符合纳入标准。所确定的工具显示出足够或较高的诊断准确性。
为了进行有效的认知筛查，在结果解释中考虑社会文化和教育因素很重要。为低教育水平或文盲老年人构建特定工具应更好地反映巴西不同地区老年人所面临的困难。
