Herrera-García José David, Rego-García Iago, Guillén-Martínez Virginia, Carrasco-García María, Valderrama-Martín Carmen, Vílchez-Carrillo Rosa, López-Alcalde Samuel, Carnero-Pardo Cristóbal
Cognitive-Behavioral Neurology Unit, Neurology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Neurology Department, Hospital San Cecilio, Granada, Spain.
Dement Neuropsychol. 2019 Apr-Jun;13(2):203-209. doi: 10.1590/1980-57642018dn13-020009.
Semantic verbal fluency (SVF) is one of the most widely used tests for cognitive assessment due to its diagnostic utility (DU).
our objective is to evaluate the DU to detect cognitive impairment (CI) of a short version of the SVF applied in 30 seconds (SVF).
a prospective sample of consecutive patients evaluated in a Neurology Unit between December 2016 and December 2017 were assessed with the Global Deterioration Scale (GDS), 30-second and 60-second SVF tests (animals), and the Fototest, which includes a fluency task of people's names. The DU for CI was evaluated by the area under the ROC curve and effect size ("d" Cohen).
the study included 1012 patients (256 with CI, 395 with dementia). SVF shows a good correlation with GDS stage. The DU of SVF is identical to that of the classical version, applied in 60 seconds, (SVF) for CI (0.89 ± 0.01; p > 0.50), and shows no significant difference for dementia (0.85 ± 0.01 vs. 0.86 ± 0.01, p > 0.15).
the DU of SVF is similar to that of the SVF, allowing a reduction in examination time with no loss of discriminative capacity.
语义言语流畅性(SVF)因其诊断效用(DU),是认知评估中使用最广泛的测试之一。
我们的目的是评估应用于30秒的SVF简版(SVF)检测认知障碍(CI)的诊断效用。
对2016年12月至2017年12月在神经内科病房连续评估的患者进行前瞻性抽样,使用总体衰退量表(GDS)、30秒和60秒的SVF测试(动物)以及包含人名流畅性任务的照片测试进行评估。通过ROC曲线下面积和效应量(“d”科恩)评估CI的诊断效用。
该研究纳入1012例患者(256例有CI,395例有痴呆)。SVF与GDS分期显示出良好的相关性。SVF对CI的诊断效用与应用于60秒的经典版本(SVF)相同(0.89±0.01;p>0.50),对痴呆的诊断效用无显著差异(0.85±0.01对0.86±0.01,p>0.15)。
SVF的诊断效用与SVF相似,可减少检查时间且不损失鉴别能力。