کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
5662496 1407570 2017 5 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله
A comparative study of the use of three cognitive function screening tests on rehabilitation wards for older people
ترجمه فارسی عنوان
بررسی مقایسه ای استفاده از سه تست غربالگری عملکرد شناختی در بخش های توانبخشی برای افراد مسن
کلمات کلیدی
اختلال شناختی؛ ارزیابی؛ توانبخشی؛ ترخیص؛
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب سالمندان و علم پیری شناسی
چکیده انگلیسی

BackgroundCognitive function tests are often used to predict rehabilitation outcomes. We aimed to determine how predictive the MMSE, CLOX and a short Frontal Lobe Assessment (sFLA) were in determining likely improvement in activities of daily living and discharge home.Materials and methodsIn a prospective observational study, we evaluated a cohort of 241 patients [97 Male mean (SD) median age: 84.4 (7.27) 85 years]. Functional ability was assessed using the Barthel Activities of Daily Living (BADL) scale. Outcomes were an improvement in one domain on the BADL and discharge home.ResultsWhatever the tool, abnormal cognition was an independent factor for lack of improvement in BADL [MMSE - P = 0.000 (B = 1.11; 95%CI: 1.05-1.17); CLOX - P = 0.007 (B = 1.13; 95% CI: 1.06-1.22) and sFLA - P = 0.0001 (B = 1.19; 95% CI: 1.09-1.31)] and for failure to discharge home [MMSE - P = 0.0001 (B = 1.13; 95%CI: 1.06-1.19); CLOX - P = 0.007 (B = 1.12; 95%CI: 1.03-1.21) and sFLA - P = 0.002 (B = 1.18; 95%CI: 1.06-1.31)]. The MMSE correlated positively with the CLOX and sFLA (r = 0.54: P = 0.000 and r = 0.7: P = 0.000 respectively) and a weaker positive correlation between the CLOX and sFLA (r = 0.43: P = 0.000). The Receiver Operative Characteristic (ROC) Curves for all tests mirrored each other across the range of scores with similar and modest areas under the curves for the prediction of improvement in BADL and discharge home (BADL: range 0.65-0.68 and discharge home: range 0.70-0.77).ConclusionAlthough the MMSE, CLOX and sFLA assess different aspects of cognition, there seems little benefit of one test over another. Over reliance on these tests alone, to determine the likely outcome of rehabilitation is unjustified and patients should not be denied rehabilitation just because they may be abnormal.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Geriatric Medicine - Volume 8, Issue 1, February 2017, Pages 54-58
نویسندگان
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