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The Utility of Cognitive Screeners in the Detection of Dementia Spectrum Disorders in Spanish-Speaking Populations.
Journal of Geriatric Psychiatry and Neurology ( IF 2.9 ) Pub Date : 2020-04-21 , DOI: 10.1177/0891988720915513
Shanna L Burke 1 , Adrienne Grudzien 1 , Aaron Burgess 1 , Miriam J Rodriguez 2 , Yesenia Rivera 2 , David Loewenstein 3
Affiliation  

Increasing rates of dementia spectrum disorders among Spanish-speaking geriatric populations necessitate the development of culturally appropriate cognitive screening tests that can identify neurodegenerative disorders in their earliest stages when emerging disease-modifying treatments are most likely to be effective. This scoping review identified 26 brief Spanish language cognitive screening tools (<20 minutes) by searching academic databases using a combination of search terms. Results suggest that the Mini-Mental Status Examination and Montreal Cognitive Assessment appear to be less valid than other screeners. Instruments such as the 7-Minute Screen and Mini-Cog evidence higher classification rates of dementia, while Phototest detected mild cognitive impairment at higher rates more consistently than other screeners. Different sensitivity and specificity outcomes and cutoffs were observed when the same cognitive screener was evaluated in different countries. Results indicate that it is imperative to increase nation-specific validation and normative data for these instruments to best serve diverse populations.

中文翻译:

认知筛查仪在检测西班牙语人群痴呆症谱系障碍中的效用。

西班牙语老年人群中痴呆症谱系障碍的发病率不断增加,因此有必要开发适合文化的认知筛查测试,以便在新出现的疾病缓解治疗最有可能有效时识别神经退行性疾病的最早阶段。本次范围界定审查通过使用搜索词组合搜索学术数据库,确定了 26 个简短的西班牙语认知筛查工具(<20 分钟)。结果表明,简易精神状态检查和蒙特利尔认知评估似乎不如其他筛查有效。7 分钟筛查和 Mini-Cog 等仪器证明痴呆症分类率较高,而 Phototest 检测出轻度认知障碍的比率比其他筛查仪更一致。当在不同国家评估相同的认知筛查时,观察到不同的敏感性和特异性结果以及截止值。结果表明,必须增加这些工具的国家特定验证和规范数据,以便最好地服务于不同人群。
更新日期:2020-04-21
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