Neuropsychology, development, and cognition. Section B, Aging, neuropsychology and cognition · 2018
Screening for cognitive impairment in an Australian aged care assessment team as part of comprehensive geriatric assessment.
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Clarnette Roger, Goh Ming, Bharadwaj Sneha, Ryan Jillian, Ellis Suzanne, Svendrovski Anton, Molloy D William, O'Caoimh Rónán
Аннотация
Accurate detection of mild cognitive impairment (MCI) is important to stratify and address risk. Yet, few short cognitive screening instruments are validated for this. . In Australia, all clients referred to an Aged Care Assessment Team (ACAT) receive comprehensive geriatric assessment (CGA) including the Standardized Mini-Mental State Examination (SMMSE). We compared the accuracy of the quick mild cognitive impairment (Qmci) screen to the SMMSE in 283 participants: 195 with dementia, 47 with MCI, and 41 with subjective cognitive decline (SCD) in an Australian community-based ACAT. Both had similar accuracy in identifying dementia, AUC of 0.86 for the Qmci versus 0.93 for the SMMSE (p = 0.10), but the Qmci was more accurate than the SMMSE in differentiating MCI from SCD, AUC of 0.84 versus 0.71, respectively, p = 0.046. These suggest that the new, short (3-5 min) Qmci screenis appropriate for use in an ACAT or other units conducting CGA.