Prevalence and persistence of mild cognitive impairment among elderly patients in general hospitals

被引：49

作者：

Bickel, H ^{[1
]}

Mösch, E ^{[1
]}

Seigerschmidt, E ^{[1
]}

Siemen, M ^{[1
]}

Förstl, H ^{[1
]}

机构：

[1] Tech Univ Munich, Klin & Poliklin Psychiat & Psychotherapie, Klinikum Rechts Isar, DE-81675 Munich, Germany

来源：

DEMENTIA AND GERIATRIC COGNITIVE DISORDERS | 2006年 / 21卷 / 04期

关键词：

mild cognitive impairment; prevalence; general hospitals; early detection of cognitive disorders;

D O I：

10.1159/000091397

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

The aim of the present study was to determine the prevalence of mild cognitive impairment (MCI) in elderly patients in general hospitals and to investigate the persistence of the cognitive deficits after discharge from the hospital. In a sample consisting of 794 non-demented patients in general hospitals aged 65-85 years, we found an MCI prevalence of 36.1%. The positive predictive value for cognitive impairment 3.5 months after hospital discharge was 61.0%. The deficits in multiple-domain MCI proved to be particularly stable with a positive predictive value of 82.9%. Elderly patients in general hospitals represent a high-risk group for MCI. These results indicate that general hospitals offer an opportunity for the early detection of incipient dementia.

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页码：242 / 250

页数：9

相关论文

共 49 条

[1] Annual rate and predictors of conversion to dementia in subjects presenting mild cognitive impairment criteria defined according to a population-based study [J].

Amieva, H ;

Letenneur, L ;

Dartigues, JL ;

Rouch-Leroyer, I ;

Sourgen, C ;

D'Alchée-Birée, F .

DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 2004, 18 (01) :87-93

[2] Multiple cognitive deficits during the transition to Alzheimer's disease [J].

Bäckman, L ;

Jones, S ;

Berger, AK ;

Laukka, EJ ;

Small, BJ .

JOURNAL OF INTERNAL MEDICINE, 2004, 256 (03) :195-204

[3]

Binz U, 1986, KUSTA KURZ SKALA STI

[4] Subclassifications for mild cognitive impairment: prevalence and predictive validity [J].

Busse, A ;

Bischkopf, J ;

Riedel-Heller, SG ;

Angermeyer, MC .

PSYCHOLOGICAL MEDICINE, 2003, 33 (06) :1029-1038

[5] Mild cognitive impairment: prevalence and incidence according to different diagnostic criteria - Results of the Leipzig Longitudinal Study of the Aged (LEILA75+) [J].

Busse, A ;

Bischkopf, J ;

Riedel-Heller, SG ;

Angermeyer, MC .

BRITISH JOURNAL OF PSYCHIATRY, 2003, 182 :449-454

[6] A NEW METHOD OF CLASSIFYING PROGNOSTIC CO-MORBIDITY IN LONGITUDINAL-STUDIES - DEVELOPMENT AND VALIDATION [J].

CHARLSON, ME ;

POMPEI, P ;

ALES, KL ;

MACKENZIE, CR .

JOURNAL OF CHRONIC DISEASES, 1987, 40 (05) :373-383

[7] The course of cognitive decline in older persons: Results from the Longitudinal Aging Study Amsterdam [J].

Comijs, HC ;

Dik, MG ;

Deeg, DJH ;

Jonker, C .

DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 2004, 17 (03) :136-142

[8] Predicting conversion to Alzheimer disease using standardized clinical information [J].

Daly, E ;

Zaitchik, D ;

Copeland, M ;

Schmahmann, J ;

Gunther, J ;

Albert, M .

ARCHIVES OF NEUROLOGY, 2000, 57 (05) :675-680

[9] Occurrence of cognitive impairment and dementia after the age of 60: A population based study from northern Italy [J].

De Ronchi, D ;

Berardi, D ;

Menchetti, M ;

Ferrari, G ;

Serretti, A ;

Dalmonte, E ;

Fratiglioni, L .

DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 2005, 19 (2-3) :97-105

[10] The Bayer-Activities of Daily Living Scale (B-ADL):: Results from a validation study in three European countries [J].

Erzigkeit, H ;

Lehfeld, H ;

Peña-Casanova, J ;

Bieber, F ;

Yekrangi-Hartmann, C ;

Rupp, M ;

Rappard, F ;

Arnold, K .

DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 2001, 12 (05) :348-358

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