Choi Ji-Hun, Kim Dong-Woo, La Hye-Jee, Son Hyoshin, Lee Soon-Tae
Department of Neurology, Seoul National University Hospital, Seoul, Korea.
Department of Medicine, Seoul National University College of Medicine, Seoul, Korea.
Encephalitis. 2021 Apr;1(2):45-50. doi: 10.47936/encephalitis.2021.00031. Epub 2021 Apr 8.
To evaluate cognitive function with ease at bedside, we developed a novel neurologic exam called the "food memory test (FMT)" and evaluated its validity for use in clinical practice.
In this prospective study in a neurology clinic, we asked patients about what they had eaten for the soup and main dish at the last meal [FMT1] and the second-to-last meal [FMT2]. If they answered correctly for both the soup and main dish, they received a "pass" score. If they did not answer or chose the wrong food, they received a "fail" score. We also performed conventional cognitive function tests for comparison.
A total of 27 patients was enrolled, and 12 (44.4%) passed the FMT1 test. FMT1 has a strong correlation with conventional memory function tests, including time-place orientation, three-word recall, the Seoul Verbal Learning Test, and the Rey Complex Figure Test . FMT1 was not correlated with a depression score or with frontal lobe function tests. FMT2 showed less significant correlation with conventional memory tests.
These results suggest that FMT1 is a reliable bedside test to evaluate recent memory. Clinical application of FMT in daily clinical practice is warranted.
为了在床边轻松评估认知功能,我们开发了一种名为“食物记忆测试(FMT)”的新型神经学检查方法,并评估了其在临床实践中的有效性。
在这家神经内科诊所进行的这项前瞻性研究中,我们询问患者上一餐[FMT1]和倒数第二餐[FMT2]所喝的汤和主菜是什么。如果他们汤和主菜的回答都正确,就获得“通过”分数。如果他们没有回答或选择了错误的食物,就获得“失败”分数。我们还进行了传统认知功能测试以作比较。
共纳入27例患者,12例(44.4%)通过了FMT1测试。FMT1与传统记忆功能测试有很强的相关性,包括时间地点定向、三字回忆、首尔言语学习测试和雷-复杂图形测试。FMT1与抑郁评分或额叶功能测试无关。FMT2与传统记忆测试的相关性不太显著。
这些结果表明,FMT1是评估近期记忆的可靠床边测试。FMT在日常临床实践中的临床应用是有必要的。