Multinational Center for Quality of Life Research, St. Petersburg, Russia.
Saint Petersburg State University Hospital, St. Petersburg, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2023;123(7):55-64. doi: 10.17116/jnevro202312307155.
To explore the experts' opinion on the feasibility of using Mini-Kog, MMSE and GPCOG tests for screening assessment of cognitive impairment in elderly and senile patients at the primary stage of medical care, as well as to compare different characteristics of these tests according to experts' opinion.
The survey of specialists was carried out on the basis of 6 Medical Centers. Prior to the survey, specialists tested cognitive functions in elderly and senile patients during routine visits undergoing routine admission using Mini-Kog, MMSE and GPCOG tests, as well as interviewed their relatives using the corresponding section of the GPCOG. During the survey, specialists filled out a special physician checklist containing items for indicating socio-demographic information and questions regarding the use of tests for assessing cognitive functions in elderly and senile patients in daily clinical practice.
The survey involved 40 specialists from different cities of Russia (mean age±SD - 38.6±14.3 years, 82.5% - women). Elderly and senile patients accounted for the predominant proportion (76-100%) of all followed-up patients. All physicians considered it important to conduct a cognitive assessment in elderly patients and they have to use various cognitive tests in their practice. According to most experts, among the Mini-Kog, MMSE and GPCOG tests, all three tools are informative, convenient and suitable for screening cognitive impairment in geriatric patients. The MMSE test is more informative and convenient. Mini-Kog, compared to the other two tools, is the simplest and most time-efficient tool that is also better perceived by patients. An advantage of the GPCOG is the possibility of participation of informants in the assessment of cognitive functions in older patients.
The findings could be used in further research focused on improving the approaches for early detection of cognitive impairment in geriatric patients by primary care physicians.
探讨专家对 Mini-Kog、MMSE 和 GPCOG 测试在初级医疗保健阶段用于筛查评估老年和老年患者认知障碍的可行性的意见，以及根据专家意见比较这些测试的不同特点。
在 6 家医疗中心的基础上进行了专家调查。在调查之前，专家在常规就诊期间使用 Mini-Kog、MMSE 和 GPCOG 测试对老年和老年患者进行认知功能测试，并通过 GPCOG 的相应部分对其亲属进行访谈。在调查过程中，专家填写了一份特殊的医生检查表，其中包含社会人口统计学信息的项目和关于在日常临床实践中使用测试评估老年和老年患者认知功能的问题。
该调查涉及来自俄罗斯不同城市的 40 名专家（平均年龄±标准差-38.6±14.3 岁，82.5%-女性）。老年患者占所有随访患者的主要比例（76-100%）。所有医生都认为对老年患者进行认知评估很重要，他们必须在实践中使用各种认知测试。根据大多数专家的意见，在 Mini-Kog、MMSE 和 GPCOG 测试中，这三种工具都具有信息性、方便性和适用于筛查老年患者认知障碍的特点。MMSE 测试更具信息量和方便性。与其他两种工具相比，Mini-Kog 是最简单、最省时的工具，患者也更容易接受。GPCOG 的优势在于可以让知情者参与评估老年患者的认知功能。
这些发现可用于进一步研究，旨在通过初级保健医生改进早期发现老年患者认知障碍的方法。
