Diagnostic accuracy of Mini-Mental Status Examination and Revised Hasegawa Dementia Scale for Alzheimer's disease

被引:118
作者
Kim, KW
Lee, DY
Jhoo, JH
Youn, JC
Suh, YJ
Jun, YH
Seo, EH
Woo, JI
机构
[1] Seoul Natl Univ, Coll Med, Seoul 110744, South Korea
[2] Seoul Natl Univ, Bundang Hosp, Dept Neuropsychiat, Seongnam, Gyeonggi Do, South Korea
[3] Seoul Natl Univ Hosp, Dept Neuropsychiat, Seoul 110744, South Korea
[4] Seoul Natl Univ Hosp, Clin Res Inst, Seoul 110744, South Korea
[5] Pundang Jesaeng Hosp, Daejin Med Ctr, Dept Neuropsychiat, Seongnam, South Korea
[6] Kyunggi Prov Hosp Elderly, Dept Neuropsychiat, Yongin, Gyeonggi Do, South Korea
[7] Seoul Natl Univ, BK21 Res Div Human Life Sci, Seoul, South Korea
关键词
Revised Hasegawa Dementia Scale; Mini-Mental Status Examination; diagnostic accuracy; Alzheimer's disease; education; severity;
D O I
10.1159/000084558
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
To compare the diagnostic accuracies of the Revised Hasegawa Dementia Scale (HDS-R) and Mini-Mental Status Examination (MMSE) for Alzheimer's diseases (AD), we administered them simultaneously to 82 AD patients and 82 age- and sex-matched nondemented control subjects. The area under the receiver operator curve (AUC) for AD of the HDS-R (AUC(HDS-R)) and MMSE (AUC(MMSE)) were bigger than 0.90 indicating that both tests are useful for detecting AD. However, AUC(HDS-R) (0.952) was significantly larger than that of the AUC(MMSE) (0.902) regardless of the educational level of the subjects, indicating that the HDS-R is more accurate than MMSE in diagnosing AD. Moreover, the superiority of the HDS-R (AUC(HDS-R) = 0.894) to the MMSE (AUC(MMSE) = 0.704) remained significant in mild AD patients alone, who are the focus of screening. In conclusion, the HDS-R is better than the MMSE as a screening instrument for AD. Copyright (C) 2005 S. Karger AG, Basel.
引用
收藏
页码:324 / 330
页数:7
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