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首页> 外文期刊>Psychosomatics >'Alert and Oriented x 3?' Correlates of Mini-Cog Performance in a Post/Nondelirious Intensive Care Unit Sample
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'Alert and Oriented x 3?' Correlates of Mini-Cog Performance in a Post/Nondelirious Intensive Care Unit Sample

机译：“警觉和定向x 3？”后期/不必要的重症监护病房样本中的Mini-Cog性能的相关性

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Background: Cognitive impairment has been found to be a predictor of adverse medical outcomes, including nonadherence, recurrent medical crises resulting in early readmissions, and death. Objective: The Mini-Cog has been proposed for bedsidel clinic cognitive testing. Its validity as a measure of central nervous system (CNS) impairment has never been tested against measures of CNS-medical history, CNS scans, selected laboratory findings, observed in-hospital nondelirious memory impairment, or collateral history from family. Methods: We observed Mini-Cog performance in 107 poston-delirious medical intensive care unit patients and tested its association with age, CNS-medical history, CNS scans, selected laboratory findings, and behavioral history (in-hospital observation of memory problems and collateral history from family or significant others).Results: The overall Mini-Cog covaried with age, various measures of CNS impairment, abnormal laboratory findings, and measures of preadmission forget-fulness" per family and by in-hospital staff observation. Unique variance in predicting overall Mini-Cog scores included age, positive CNS scan, and behavioral history. Of 91 patients found to be "alert and oriented x 3," 76% were impaired in immediate memory, short-term memory, or clock drawing. Conclusions: The Mini-Cog appears to be a brief yet valid, measure of CNS dysfunction that significantly enhances sensitivity of evaluation at the bedside. Failure to evaluate patients with a formal examination like the Mini-Cog appears to miss up to 76% of patients with moderate cognitive impairment.
机译：背景：认知障碍被认为是不良医学结果的预兆，包括不坚持治疗，导致早期再次入院和死亡的复发性医学危机。目的：已提出将Mini-Cog用于床边临床认知测试。从未针对中枢神经系统病史，中枢神经系统扫描，选定的实验室检查结果，观察到的院内非妄想性记忆障碍或家庭附带病史的量度对它作为中枢神经系统（CNS）损伤的量度进行过验证。方法：我们观察了107名术后/非精神错乱的重症监护病房患者的Mini-Cog表现，并测试了其与年龄，CNS病史，CNS扫描，选定的实验室检查结果和行为史的关联（院内观察记忆问题）结果：整个Mini-Cog与年龄，每个家庭的中枢神经系统损伤指标，实验室检查结果异常和入院前遗忘率指标以及医院工作人员的观察结果相关。 Mini-Cog总体评分预测中的差异包括年龄，CNS扫描阳性和行为史，在91名“警觉性和定向性x 3”患者中，有76％的患者的即时记忆力，短期记忆力或抽动能力受损。结论：Mini-Cog似乎是一种简短而有效的中枢神经系统功能障碍的测量方法，可显着提高床旁评估的敏感性。 ni-Cog似乎会错过多达76％的中度认知障碍患者。

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