Bridges K W, Goldberg D P
Br J Psychiatry. 1986 May;148:548-53. doi: 10.1192/bjp.148.5.548.
The routine use of screening instruments for psychiatric and cognitive impairment in hospital in-patients has been recommended in the United States. The validity of the scaled version of the General Health Questionnaire (GHQ-28) and the clinical utility of the Mini-Mental State Examination (MMSE) were therefore evaluated in a consecutive series of neurological in-patients (N = 102). Using Receiver Operating Characteristic (ROC) analysis, the discriminating power of the GHQ was very good, and best when using a threshold score of 11/12. The patient sample turned out not to contain any with generalised cortical damage, which casts some doubt on whether the MMSE should be used routinely in all neurological in-patients units in the UK.
在美国，已建议在医院住院患者中常规使用筛查工具来评估精神和认知障碍。因此，对连续收治的102例神经科住院患者进行了研究，以评估一般健康问卷简化版（GHQ - 28）的有效性以及简易精神状态检查表（MMSE）的临床实用性。通过受试者工作特征（ROC）分析发现，GHQ的鉴别能力非常好，使用阈值分数11/12时效果最佳。结果发现患者样本中没有任何患有广泛性皮质损伤的患者，这使人对MMSE是否应在英国所有神经科住院病房中常规使用产生了一些疑问。
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