Haglund R M, Schuckit M A
J Gerontol. 1976 Nov;31(6):654-9. doi: 10.1093/geronj/31.6.654.
The quantification and standardization of observations of clinically significant organicity in the elderly is possible through the administration of specific cognitive tests. In this study, four organicity tests were evaluated on a geriatric medical/surgical patient group, with the SPMSQ yielding the best correlation with a clinical diagnosis of organicity. The SPMSQ is also recommended for its ease of administration, brevity, quantitative output, and straight-forward interpretation. The FHT produces an increment of improvement in the identification of organic groups, thus serving as a useful second test. The MSQ, while longer and slightly more complex, is roughly equivalent to the SPMSQ. The MFD test, the most lengthy and complex of the four instruments used, did not add sufficient additional information for this sample to warrant its inclusion in a testing regimen. Accurate diagnosis is critical for the geriatric patient if excessive morbidity and mortality are to be avoided, and unnecessarily long hospital stays are to be reduced. The availability of a short, easily administered test like the SPMSQ can effectively improve the assessment of the elderly patient at little additional cost to the clinician.
通过实施特定的认知测试，对老年人具有临床意义的器质性病变进行观察的量化和标准化是可行的。在本研究中，对一组老年内科/外科患者进行了四项器质性病变测试评估，其中简易精神状态问卷（SPMSQ）与器质性病变的临床诊断相关性最佳。SPMSQ还因其易于实施、简短、定量输出和解释直接而被推荐。Folstein简易智能状态检查表（FHT）在识别器质性病变组方面有改进，因此可作为有用的第二项测试。简易精神状态问卷（MSQ）虽然更长且稍复杂一些，但大致与SPMSQ相当。四项使用的工具中最长且最复杂的MFD测试，并未为该样本提供足够的额外信息以使其有理由纳入测试方案。如果要避免老年患者出现过高的发病率和死亡率，并减少不必要的长时间住院，准确诊断至关重要。像SPMSQ这样简短且易于实施的测试的可用性，能够以很少的额外成本有效改善对老年患者的评估。
