Mant A, Eyland E A, Pond D C, Saunders N A, Chancellor A H
Royal Australian College of General Practitioners, Sydney, New South Wales.
Fam Pract. 1988 Sep;5(3):184-8. doi: 10.1093/fampra/5.3.184.
In a study of 226 elderly residents in a retirement village in Sydney, Australia, general practitioners' opinions about dementia status had high positive and negative predictive values and high specificity, but low sensitivity when evaluated against the mini-mental state examination and the Blessed dementia rating scale. General practitioners were found to disagree with these two measures more often when patients were in advanced old age, and when they considered the patients to be depressed. We conclude that the general practitioner can increase his or her sensitivity to dementia in the elderly by use of either measure.
在对澳大利亚悉尼一个退休村的226名老年居民进行的一项研究中，全科医生对痴呆症状态的判断具有较高的阳性和阴性预测价值以及较高的特异性，但与简易精神状态检查表和布氏痴呆评定量表相比，其敏感性较低。研究发现，当患者年龄较大且全科医生认为患者患有抑郁症时，他们与这两种测量方法的分歧更为常见。我们得出结论，全科医生可以通过使用这两种测量方法中的任何一种来提高其对老年人痴呆症的敏感性。
