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INECO 额叶筛查和额叶评估量表在轻度认知障碍中的敏感性和特异性评估。

Evaluation of sensitivity and specificity of the INECO Frontal Screening and the Frontal Assessment Battery in mild cognitive impairment.

作者信息

Fernández-Fleites Zoylen, Jiménez-Puig Elizabeth, Broche-Pérez Yunier, Morales-Ortiz Sheyla, Luzardo Darlyn Alejandra Reyes, Crespo-Rodríguez Luis Ramón

机构信息

Psychology Department, Universidad Central "Marta Abreu" de Las Villas - Santa Clara, Cuba.

CognitiON (Cuban Inicative on Cognitive Health) - Santa Clara, Cuba.

出版信息

Dement Neuropsychol. 2021 Jan-Mar;15(1):98-104. doi: 10.1590/1980-57642021dn15-010010.

Abstract

UNLABELLED

The Frontal Assessment Battery (FAB) and the INECO Frontal Screening (IFS) are two instruments frequently used to explore cognitive deficits in different diseases. However, studies reporting their use in patients with mild cognitive impairment (MCI) are limited.

OBJECTIVE

To compare the sensitivity and specificity of FAB and IFS in mild cognitive impairment (multiple-domain amnestic MCI subtype - md-aMCI).

METHODS

IFS and FAB were administered to 30 md-aMCI patients and 59 healthy participants. Sensitivity and specificity were investigated using the Receiver Operating Characteristic (ROC) analysis.

RESULTS

The area under the ROC curve (AUC) of IFS for MCI patients was .82 (sensitivity=0.96; specificity=0.76), whereas the AUC of FAB was 0.74 (sensitivity=0.73; specificity=0.70).

CONCLUSIONS

In comparison to FAB, IFS showed higher sensitivity and specificity for the detection of executive dysfunctions in md-aMCI subtype. The use of IFS in everyday clinical practice would allow detecting the frontal dysfunctions in MCI patients with greater precision, enabling the early intervention and impeding the transition to more severe cognitive alterations.

摘要

未标注

额叶评估量表(FAB)和INECO额叶筛查量表(IFS)是常用于探究不同疾病认知缺陷的两种工具。然而,关于它们在轻度认知障碍(MCI)患者中应用的研究有限。

目的

比较FAB和IFS在轻度认知障碍(多领域遗忘型MCI亚型 - md - aMCI)中的敏感性和特异性。

方法

对30例md - aMCI患者和59名健康参与者进行IFS和FAB测试。使用受试者操作特征(ROC)分析来研究敏感性和特异性。

结果

MCI患者IFS的ROC曲线下面积(AUC)为0.82(敏感性 = 0.96;特异性 = 0.76),而FAB的AUC为0.74(敏感性 = 0.73;特异性 = 0.70)。

结论

与FAB相比,IFS在检测md - aMCI亚型的执行功能障碍方面显示出更高的敏感性和特异性。在日常临床实践中使用IFS将能够更精确地检测MCI患者的额叶功能障碍,实现早期干预并阻止向更严重认知改变的转变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd73/8049576/357f94297760/1980-5764-dn-15-01-0098-gf01.jpg

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