Bouzan Jobar, Willschrei Peter, Horstmann Marcus
Department of Urology, University of Duisburg-Essen, Hufeland Str. 55, 45147 Essen, Germany.
Department of Urology, Helios Hospital St. Josefshospital, Krefeld Uerdingen, Kurfuersten Str. 69, 47829 Krefeld, Germany.
Medicines (Basel). 2023 Oct 8;10(10):56. doi: 10.3390/medicines10100056.
Cognitive impairment is poorly addressed in G8 screening. The aim of the present study was to evaluate the additional value of Mini-Cog© in urogeriatric patients concurrently screened by G8 scores. Seventy-four consecutive urogeriatric patients aged 75 and above were evaluated. All patients underwent G8 and Mini-Cog screening. Patients with a G8 score above 14 were considered geriatric "healthy or fit". A Mini-Cog© from four to five points was considered inconspicuous in screening for cognitive impairment. The additional information of a Mini-Cog© screening during G8 screening was evaluated by looking at G8 "fit and healthy" patients who had conspicuous Mini-Cog© tests and vice versa. Additionally, the results of the neuropsychological subitem "E" of the G8 score were compared with the results of the Mini-Cog© screening. The mean age of the patients was 83 y (min. 75-max. 102). Sixty-one of the patients were males, and 13 were females. Twenty-nine of the patients had a normal G8 score and were considered "healthy or fit", and 45 were not. Forty-three of the patients had an inconspicuous Mini-Cog©, and 31 had a conspicuous Mini-Cog© of less than four points. The majority of G8 "healthy or fit" patients ( = 24/29) had an inconspicuous Mini-Cog© test. However, of them, five patients had a Mini-Cog© of less than four points, which is suspicious for cognitive disorders. Furthermore, of the 43 patients with a normal G8 subscore in item "E" of two points, 6 patients had a conspicuous Mini-Cog© of less than four points. As shown by the present study, the Mini-Cog© might extend the G8 screening with regard to the detection of cognitive functional impairments that are not detected by the G8 screening alone. It can be easily added to G8 screening.
在G8筛查中，认知障碍问题未得到充分解决。本研究的目的是评估简易认知评估量表（Mini-Cog©）在同时接受G8评分筛查的老年泌尿系统疾病患者中的附加价值。对74例连续入选的75岁及以上老年泌尿系统疾病患者进行了评估。所有患者均接受了G8和简易认知评估量表筛查。G8评分高于14分的患者被视为老年“健康或身体状况良好”。简易认知评估量表得分为4至5分在认知障碍筛查中被视为不显著。通过观察G8“健康或身体状况良好”但简易认知评估量表测试结果显著的患者以及相反情况，来评估在G8筛查期间进行简易认知评估量表筛查的附加信息。此外，还比较了G8评分中神经心理学子项“E”的结果与简易认知评估量表筛查的结果。患者的平均年龄为83岁（最小75岁 - 最大102岁）。其中61例为男性，13例为女性。29例患者G8评分正常，被视为“健康或身体状况良好”，45例则不然。43例患者简易认知评估量表结果不显著，31例患者简易认知评估量表得分低于4分，结果显著。大多数G8“健康或身体状况良好”的患者（24/29）简易认知评估量表测试结果不显著。然而，其中5例患者简易认知评估量表得分低于4分，这对认知障碍具有可疑性。此外，在G8评分子项“E”中得分为2分的43例正常患者中，6例患者简易认知评估量表得分低于4分，结果显著。如本研究所示，简易认知评估量表可能会在检测仅靠G8筛查无法发现的认知功能障碍方面扩展G8筛查。它可以很容易地添加到G8筛查中。
