首页> 外文期刊>Journal of geriatric psychiatry and neurology >The IQCODE versus a single-item informant measure to discriminate between cognitively intact individuals and individuals with dementia or cognitive impairment.
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The IQCODE versus a single-item informant measure to discriminate between cognitively intact individuals and individuals with dementia or cognitive impairment.

机译:IQCODE与单项信息提供者措施可以区分认知完好的个体和痴呆或认知障碍的个体。

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摘要

The present study evaluated the short Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE 2-year version) against a single item concerning informant's perception of patient's memory, as screening tools for CIND not dementia (CIND) and dementia. Data were drawn from the Aging, Demographics, and Memory Study, which is a national study that was specifically designed to provide population-based estimates of cognitive impairment and dementia in the United States. The study employed a comprehensive dementia evaluation that yielded an expert consensus-based diagnosis. Receiver-operating curves, sensitivity, specificity, negative predictive value, and positive predictive value were calculated. Both the IQCODE and the single-item instrument demonstrated only mild-to-moderate abilities to discriminate between cognitively intact individuals and individuals with CIND. Whereas the ability of the IQCODE to discriminate between cognitively intact individuals and individuals with dementia was moderate, the single-item instrument showed an adequate ability to distinguish between cognitively intact individuals and individuals with dementia. Therefore, for screening purposes, asking informants a single question concerning patients' memory is sufficient. However, if additional data concerning patients' strengths and weaknesses are needed, the IQCODE may be desirable.
机译:本研究针对有关知情者对患者记忆的感知的单个项目,评估了针对老年人认知能力下降的简短知情问卷(IQCODE 2年版本),作为针对CIND而非痴呆症(CIND)和痴呆症的筛查工具。数据摘自《衰老,人口统计学和记忆研究》,这是一项全国性研究,专门设计用于提供基于人群的美国认知障碍和痴呆症估计。该研究采用了全面的痴呆评估,得出了基于共识的专家诊断。计算接收者操作曲线,敏感性,特异性,阴性预测值和阳性预测值。 IQCODE和单项工具都仅表现出轻度至中度的能力来区分认知完整的个体和CIND的个体。 IQCODE区分认知完整的个体和痴呆症个体的能力中等,而单项工具显示出足够的能力来区分认知完整的个体和痴呆症个体。因此,出于筛查目的,向举报人询问有关患者记忆的单个问题就足够了。但是,如果需要有关患者优势和劣势的其他数据,则可能需要IQCODE。

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