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After clinical data were collected present complaints, collateral reports, premorbid history, family history, medicationall individuals underwent a comprehensive evaluation that included the following ,ci battery: This study was approved by the Ethics Committee of D’Or Institute for Research and Education; being a retrospective survey of clinical files, patients did not sign an informed consent, in accordance to Brazilian regulations.
Some studies in Brazil have proposed new neuropsychological batteries and brief screening tools for the diagnosis of both MCI and dementia The 8011 Drawing Test: Conclusion It should be stressed that the proposed brief battery alone does not provide an MCI diagnosis per sewhich requires clinical evaluation by the physician.
Contrarily to our expectations, both sensitivity and specificity of brief battery significantly decreased Utilizamos curvas ROC para estabelecer sensibilidade e especificidade da bateria breve para discriminar: In such jci where the image is specifically intended to depict a person or sporting event, then your use of this image may be restricted due to trademark, personality rights, or other rights of the league or teams involved independent of my rights as the photographer.
The comparison between MCI and the other groups mainly showed memory differences. In fact, Digit Span does not process semantic information 26 and is generally intact at the preclinical and early stages of AD Digit Span forward performances did not differ among the three groups, indicating that there were no differences in the phonological loop.
Combining cognitive screening tests for the evaluation of mild cognitive impairment in the elderly. Normal individuals had more years of education in comparison to the other groups, a result previously identified in other studies 6.
From Wikimedia Commons, the free media repository. This study should be understood in light of some limitations. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. All neuropsychological tests showed differences between clinical-control and dementia groups.
The Digit 8101a test is a measure of central executive function 26 ; it is expected that amnestic type single domain of MCI do not involve difficulties with this function. Measurement functional activities in older adults in the community. The brief battery demonstrated good sensitivity and specificity for two specific purposes: Moreira as the author, my real name.
Multimodal techniques for diagnosis and prognosis of Alzheimer’s disease. Our findings suggest that, at least in a sample that mirror clinical everyday clinical practice i. The use of a brief battery with both immediate and delayed recall might not be recommend for clinicians with the aim of discriminating MCI from normal aging.
You alone are responsible for ensuring mcci your usage does not infringe on the rights of any third party. Rate of progression of mild cognitive impairment to dementia – meta-analysis of 41 robust inception cohort studies. The studies conducted by both Paula 8011s al. Acknowledgments We would like to thank Raphael Suwwan for his contribution with statistical analyses.
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This finding suggests that, at least for samples including individuals with cognitive decline marked by memory deficits, the brief battery might be applied. Assessment of memory complaint in age-associated memory impairment: Mild cognitive impairment – beyond controversies, towards a consensus: Dementia of the Alzheimer type.
All neuropsychological tests showed significant differences between the normal and AD groups. The use of screening tests only, such as the MMSE, is not recommended due to the lack of specificity, sensitivity, or both 3.
We compared performance of the three groups on all full battery tasks. Clinical diagnosis of Alzheimer disease: The use of batteries without memory tasks – or without memory tasks evaluating retention over time – has a greater likelihood of failure in identifying cases of amnestic MCI single domain where memory deficits are not accompanied by other cognitive impairments.
The results for 80011a patients were blindly coded and evaluated ,ci second time with a subset of the tests used in the full battery.
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Using a different design, Paula et al. Methods One hundred and thirty-one elderly patients 37 controls, 41 MCI and 53 possible or probable AD were consecutively referred for neuropsychological evaluation in a private clinic. These analyses used ROC curves to establish the sensitivity and specificity of the brief battery in discriminating i normal individuals from a group of demented and MCI patients i. Results The three groups did not differ in age. We would like to thank Raphael Suwwan for his contribution with statistical analyses.
This discrepancy may be secondary to a referral bias because we evaluated a sample of patients referred to a private unit mvi neuropsychological evaluation of memory problems, which occur in a wider age range of individuals in clinical practice, from adulthood to old age. This page was last edited on 11 Novemberat Int J Geriatr Psychiatry.
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Working memory in early Alzheimer’s disease: Most studies focus on the amnestic subtype 80111a MCI, single or multiple-domain 5as kci best predictor of AD, which is the most prevalent dementia in the elderly 6which associate 80111a significant impact even in initial in mild phase 7.
Moreirathe copyright holder of this work, hereby publishes it under the following licenses:. The groups did not differ in terms of age Table 1 or gender distribution The latter two findings are not in accordance with the findings of other studies, which highlight age and gender female as two of the most important risk factors for developing AD Discussion Normal individuals had more years of education in comparison to the other groups, a result previously identified in other studies 6.
When the MCI and normal cases were sorted in the same group, the brief battery had good sensitivity Based on the literature review, we hypothesized that a minute battery would be suitable to discriminate mi three groups with good sensitivity and specificity. We also performed a post-hoc analysis of the tests used to compose the brief battery. This image, work, or other file associated with it is an original work by Adam E.
You may select the license of your choice. The AUC was 0.