临床药师对老年阿尔巴尼亚患者轻度认知障碍的筛查。
Screening for mild cognitive impairment among older Albanian patients by clinical pharmacists.
机构信息
Department of Pharmacy, Faculty of Medicine, University of Medicine of Tirana, Tirana, Albania.
Fundación Pública Andaluza para la Investigación Biosanitaria de Andalucía Oriental (FIBAO) Granada, Granada, Spain.
出版信息
Int J Pharm Pract. 2021 Mar 17;29(2):189-191. doi: 10.1093/ijpp/riab001.
OBJECTIVES
To assess the prevalence of mild cognitive impairment (MCI) and its correlated factors among elderly Albanian patients using different screening tools applied by clinical pharmacists.
METHODS
Patients aged 60 years old or more from two primary care centers located in two Albanian cities were included in the study. Two clinical pharmacists applied the MoCA/MoCA B (Montreal Cognitive Assessment/Basic) and the Mini-Cog in Albanian. A predictive multivariate logistic regression analysis and Kappa statistic were conducted.
KEY FINDINGS
The prevalence of MCI using MoCA/MoCA B and Mini-Cog scales was 75.73 and 20.39%, respectively. There was a poor degree of agreement between them (Kappa 2.38). Older men had an increased risk of MCI.
CONCLUSIONS
The involvement of clinical pharmacists in screening for MCI might help in selecting vulnerable individuals for more specialized examination. The MoCA/MoCA B tool is recommended for higher sensitivity.
目的
评估使用临床药师应用的不同筛选工具对阿尔巴尼亚老年患者轻度认知障碍（MCI）及其相关因素的流行情况。
方法
研究纳入了来自两个阿尔巴尼亚城市的两个初级保健中心的 60 岁及以上的患者。两名临床药师用阿尔巴尼亚语应用了 MoCA/MoCA B（蒙特利尔认知评估/基础）和 Mini-Cog。进行了预测性多变量逻辑回归分析和 Kappa 统计。
主要发现
使用 MoCA/MoCA B 和 Mini-Cog 量表的 MCI 患病率分别为 75.73%和 20.39%。两者之间的一致性程度较差（Kappa 2.38）。年龄较大的男性患 MCI 的风险增加。
结论
临床药师参与 MCI 的筛查可能有助于选择脆弱个体进行更专业的检查。建议使用 MoCA/MoCA B 工具以提高灵敏度。
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