Austin Health, University of Melbourne, Victoria, Australia.
Centre for Healthy Brain Ageing (CHeBA), University of New South Wales, Sydney, Australia.
J Alzheimers Dis. 2022;89(3):803-809. doi: 10.3233/JAD-220288.
Prior to the usual clinical symptoms of dementia, there can be subtle changes in cognitive function that differ from the normal age-related cognitive decline, which has been termed mild cognitive impairment (MCI). The increase in the numbers of individuals with possible MCI presenting to health care professionals, notably, General Practitioners (GPs), is going to rise dramatically in the coming years. With ever increasing demands on GPs, it is therefore timely to provide information that can be accessed by health care professionals to assist them in making appropriate diagnoses and to provide the most relevant, evidence-based treatment options. We have provided a comprehensive list of recommendations that aim to address key aspects of MCI in primary care. Specifically, these relate to detection and diagnosis; sharing the diagnosis, monitoring, and follow up; practical interventions to potentially delay progression; and personalizing care-planning, engagement, and patient motivation for the long term.
在痴呆的常见临床症状出现之前,认知功能可能会出现细微变化,与正常的年龄相关认知衰退不同,这种情况被称为轻度认知障碍(MCI)。近年来,到医疗机构就诊的疑似 MCI 患者数量显著增加,尤其是全科医生(GP)。随着对全科医生需求的不断增加,及时提供他们可以获取的信息以帮助他们做出适当的诊断并提供最相关、基于证据的治疗选择是非常重要的。我们提供了一份全面的建议清单,旨在解决初级保健中 MCI 的关键方面。具体而言,这些建议涉及检测和诊断;诊断的分享、监测和随访;潜在延缓进展的实际干预措施;以及个性化的护理计划、参与和长期患者激励。