000 nab a22 7a 4500
999 _c16745
_d16745
003 PC16745
005 20220308102910.0
008 220308b xxu||||| |||| 00| 0 eng d
040 _cH12O
041 _aeng
100 _9582
_aBermejo Pareja, Félix
_eNeurología
100 _9423
_aVillarejo Galende, Alberto
_eNeurología
100 _9892
_aBenito León, Julián
_eNeurología
245 0 0 _aAccuracy of a Brief Neuropsychological Battery for the Diagnosis of Dementia and Mild Cognitive Impairment: An Analysis of the NEDICES Cohort.
_h[artículo]
260 _bJournal of Alzheimer's disease : JAD,
_c2015
300 _a48(1):163-73.
500 _aFormato Vancouver: Serna A, Contador I, Bermejo Pareja F, Mitchell AJ, Fernández Calvo B, Ramos F et al. Accuracy of a Brief Neuropsychological Battery for the Diagnosis of Dementia and Mild Cognitive Impairment: An Analysis of the NEDICES Cohort. J Alzheimers Dis. 2015;48(1):163-73.
501 _aPMID: 26401937
504 _aContiene 71 referencias
520 _aEarly separation of mild cognitive impairment (MCI) from normal aging and mild cases of dementia remains a challenge, especially in the general population. We aimed to analyze the diagnostic accuracy of a brief neuropsychological battery (BNB) in dementia and MCI cases from the Neurological Disorders in Central Spain (NEDICES) population-based cohort study. We screened 3,891 participants into dementia and non-dementia groups using a two-phase procedure: screening (MMSE-37 and Pfeffer-11) and clinical diagnosis by specialists (DSM-IV criteria). We selected subsequently a subsample of dementia (n = 98), MCI (n = 71), and cognitively healthy (n = 123) participants matched in socio-demographic characteristics. The clinical validity of each test of the BNB was determined by the area under the ROC curve. We determined the best combination of tests to classify individuals into the diagnostic groups by logistic regression analyses. The results indicated that dementia and MCI groups could be best discriminated from the healthy control group on the basis of their scores on the semantic verbal fluency and delayed recall subtests of the BNB. As for discriminating the MCI group from the dementia group, immediate recall tasks (stories and pictures) yielded the highest level of accuracy. Probably the most interesting finding is that the verbal fluency task consistently allowed discrimination among the diagnostic groups. Overall, subtests of the BNB are more accurate in differentiating dementia patients than MCI patients from healthy controls. In this population-based sample, a more fine-grained discrimination that includes MCI patients should follow a systematic subtest-wise analysis and decision.
710 _9267
_aServicio de Neurología-Neurofisiología
710 _9625
_aInstituto de Investigación imas12
856 _uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc16745.pdf
_ySolicitar documento
942 _2ddc
_cART
_n0