Department of Neurology, Mayo Clinic, Jacksonville, Florida.
Semin Neurol. 2021 Dec;41(6):686-698. doi: 10.1055/s-0041-1726354. Epub 2021 Nov 26.
The global prevalence of dementia is expected to triple by the year 2050. This impending health care crisis has led to new heights of public awareness and general concern regarding cognitive impairment. Subsequently, clinicians are seeing more and more people presenting with cognitive concerns. It is important that clinicians meet these concerns with a strategy promoting accurate diagnoses. We have diagramed and described a practical approach to cognitive impairment. Through an algorithmic approach, we determine the presence and severity of cognitive impairment, systematically evaluate domains of function, and use this information to determine the next steps in evaluation. We also discuss how to proceed when cognitive impairment is associated with motor abnormalities or rapid progression.
预计到 2050 年，全球痴呆症的患病率将增加两倍。这场即将到来的医疗保健危机使公众对认知障碍的认识和普遍关注达到了新的高度。因此，临床医生看到越来越多的人出现认知问题。临床医生以促进准确诊断的策略来应对这些问题非常重要。我们已经绘制并描述了一种实用的认知障碍方法。通过算法方法，我们确定认知障碍的存在和严重程度，系统地评估功能领域，并利用这些信息来确定评估的下一步。我们还讨论了当认知障碍与运动异常或快速进展相关时如何进行。
