Department of Geriatric Medicine, Westmead Hospital, Sydney, New South Wales, Australia.
Western Clinical School, Westmead Hospital, Sydney, New South Wales, Australia.
Intern Med J. 2019 Aug;49(8):1035-1040. doi: 10.1111/imj.14392.
In Australia it is recommended that all older people undergoing rehabilitation have a cognitive screen. We performed a longitudinal study comparing the correlation of two cognitive screening tools - the Rowland Universal Dementia Assessment Scale (RUDAS) and Montreal Cognitive Assessment (MoCA) with discharge outcomes in a geriatric inpatient setting. The RUDAS cut-off (<23/30) was associated with discharge to a nursing home (sensitivity 52%, specificity 70%). This was also noted with a MoCA cut-off <18/30 (sensitivity 57%, specificity 69%). Furthermore the association between the RUDAS and discharge destination was independent of its association with the Functional Independence Measure (r = 0.116; P = 0.275) and had a shorter administration time. Both RUDAS and MoCA scores could be used as predictors of discharge destination in a multicultural population.
在澳大利亚,建议所有接受康复治疗的老年人进行认知筛查。我们进行了一项纵向研究,比较了两种认知筛查工具——罗兰普遍痴呆评估量表(RUDAS)和蒙特利尔认知评估(MoCA)与老年住院患者出院结局的相关性。RUDAS 截断值(<23/30)与养老院出院(敏感性 52%,特异性 70%)相关。MoCA 截断值<18/30 也有类似的结果(敏感性 57%,特异性 69%)。此外,RUDAS 与出院去向的关联独立于其与功能独立性测量(r = 0.116;P = 0.275)的关联,并且其管理时间更短。在多元文化人群中,RUDAS 和 MoCA 评分都可以作为出院去向的预测指标。