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远程认知诊断评估的警示信号:加拿大衰老神经退行性变联盟的德尔菲专家共识研究

Red flags for remote cognitive diagnostic assessment: A Delphi expert consensus study by the Canadian Consortium on Neurodegeneration in Aging.

作者信息

Friedman Nathan Hm, Hallot Sophie, Itzhak Inbal, Camicioli Richard, Henri-Bhargava Alex, Pettersen Jacqueline A, Lee Linda, Fisk John D, McLaughlin Paula, Khanassov Vladimir, Ismail Zahinoor, Freedman Morris, Chertkow Howard, Desmarais Philippe, O'Connell Megan E, Geddes Maiya R

机构信息

The Neuro, Department of Neurology and Neurosurgery, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.

Lady Davis Institute for Medical Research, Montreal, QC, Canada.

出版信息

J Alzheimers Dis. 2025 May 7;106(2):13872877251338186. doi: 10.1177/13872877251338186.

Abstract

Despite the potential benefits of remote cognitive assessment for dementia, it is not appropriate for all clinical encounters. Our aim was to develop guidance on determining a patient's suitability for comprehensive remote cognitive diagnostic assessment for dementia. A multidisciplinary expert workgroup was convened under the auspices of the Canadian Consortium on Neurodegeneration in Aging. We applied the Delphi method to determine 'red flags' for remote cognitive assessment of dementia. This resulted in 14 red flags that met the predetermined consensus criteria. We then developed a novel clinical decision-making infographic that integrated these findings to support multidisciplinary clinicians in determining a patient's readiness to undergo comprehensive remote cognitive assessment.

摘要

尽管远程认知评估对痴呆症有潜在益处,但它并不适用于所有临床诊疗。我们的目标是制定关于确定患者是否适合进行全面的痴呆症远程认知诊断评估的指南。在加拿大衰老神经退行性变联盟的支持下,召集了一个多学科专家工作组。我们应用德尔菲法来确定痴呆症远程认知评估的“警示信号”。这产生了14个符合预定共识标准的警示信号。然后,我们开发了一种新颖的临床决策信息图,整合了这些发现,以支持多学科临床医生确定患者是否准备好接受全面的远程认知评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854f/12227809/6875a737c325/10.1177_13872877251338186-fig1.jpg

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