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常见认知筛查测试(标准化简易精神状态检查表和罗兰通用痴呆评估量表)与认知功能独立性测量之间的关系。

The relationship between common cognitive screening tests (Standardised Mini-Mental State Examination and Rowland Universal Dementia Assessment Scale) and the Cognitive Functional Independence Measure.

作者信息

Fox Sarah Therese, Thompson Leah Elizabeth, Rowland Jeffrey T J

机构信息

Internal Medicine Services, The Prince Charles Hospital, Brisbane, Qld, Australia.

出版信息

Australas J Ageing. 2022 Mar;41(1):106-115. doi: 10.1111/ajag.12998. Epub 2021 Sep 29.

Abstract

OBJECTIVES

To assess whether the Cognitive Functional Independence Measure (Cog-FIM) is correlated with the Standardised Mini-Mental State Examination (SMMSE) and Rowland Universal Dementia Assessment Scale (RUDAS) and whether there is agreement between the Cog-FIM and these two tests.

METHODS

Functional Independence Measure assessments were undertaken on 98 subacute patients. Forty-eight (48) patients were administered the SMMSE, and 50 were administered the RUDAS. Agreement was examined using the Bland-Altman plot.

RESULTS

Correlation was observed between the Cog-FIM and both the SMMSE and the RUDAS. The Bland-Altman analysis demonstrated agreement between the Cog-FIM and RUDAS, but not the Cog-FIM and SMMSE. The limits of agreement between the Cog-FIM and RUDAS were -13 to 13.

CONCLUSIONS

The Cog-FIM is correlated with the RUDAS, but the agreement is unclear. Despite agreement of the means, the limits of agreement are large, which may suggest a clinically meaningful difference. The study should be repeated with a larger sample size.

摘要

目的

评估认知功能独立性测量量表(Cog-FIM)与标准化简易精神状态检查表(SMMSE)及罗兰通用痴呆评估量表(RUDAS)是否相关,以及Cog-FIM与这两项测试之间是否具有一致性。

方法

对98例亚急性患者进行了功能独立性测量评估。48例患者接受了SMMSE测试,50例患者接受了RUDAS测试。使用布兰德-奥特曼图检查一致性。

结果

观察到Cog-FIM与SMMSE和RUDAS均存在相关性。布兰德-奥特曼分析表明Cog-FIM与RUDAS之间具有一致性,但Cog-FIM与SMMSE之间不存在一致性。Cog-FIM与RUDAS之间的一致性界限为-13至13。

结论

Cog-FIM与RUDAS相关,但一致性不明确。尽管均值具有一致性,但一致性界限较大,这可能表明存在具有临床意义的差异。应使用更大的样本量重复该研究。

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