Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/1303
Título : Utility of the mini-cog for detection of cognitive impairment in primary care: data from two spanish studies.
Autor : Carnero-Pardo, Cristóbal
Cruz-Orduña, Isabel
Espejo-Martínez, Beatriz
Martos-Aparicio, Carolina
López-Alcalde, Samuel
Olazarán, Javier
Filiación: [Carnero-Pardo,C; Martos-Aparicio,C; López-Alcalde,S] Neurology Service, Virgen de las Nieves University Hospital, Granada, Spain. [Carnero-Pardo,C] FIDYAN Neurocenter, Granada, Spain. [Cruz-Orduña,I] Neurology Service, Infanta Leonor Hospital, Madrid, Spain. [Espejo-Martínez,B] Neurology Service, La Mancha Centro Hospital, Alcázar de San Juan, Spain. [Olazarán,J] Hermanos Sangro Specialties Clinic, Neurology Service, Gregorio Marañón General University Hospital, Madrid, Spain. Alzheimer Disease Research Unit, Alzheimer Center Reina Sofia Foundation-CIEN Foundation, Carlos III Institute of Health, Madrid, Spain.
Palabras clave : Atención Primaria de Salud
Enfermedad de Alzheimer
Deterioro Cognitivo Leve
Pruebas Psicológicas
Andalucia
España
Cuestionarios
Sensibilidad y Especificidad
Humanos
MeSH: Medical Subject Headings::Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care
Medical Subject Headings::Diseases::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Dementia
Medical Subject Headings::Psychiatry and Psychology::Mental Disorders::Delirium, Dementia, Amnestic, Cognitive Disorders::Cognition Disorders::Mild Cognitive Impairment
Medical Subject Headings::Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychological Tests
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Questionnaires
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Sensitivity and Specificity
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Fecha de publicación : 19-Jul-2013
Editorial : Hindawi Publishing Corporation
Cita Bibliográfica: Carnero-Pardo C, Cruz-Orduña I, Espejo-Martínez B, Martos-Aparicio C, López-Alcalde S, Olazarán J. Utility of the mini-cog for detection of cognitive impairment in primary care: data from two spanish studies. Int J Alzheimers Dis; 2013:285462
Abstract: Objectives. To study the utility of the Mini-Cog test for detection of patients with cognitive impairment (CI) in primary care (PC). Methods. We pooled data from two phase III studies conducted in Spain. Patients with complaints or suspicion of CI were consecutively recruited by PC physicians. The cognitive diagnosis was performed by an expert neurologist, after formal neuropsychological evaluation. The Mini-Cog score was calculated post hoc, and its diagnostic utility was evaluated and compared with the utility of the Mini-Mental State (MMS), the Clock Drawing Test (CDT), and the sum of the MMS and the CDT (MMS + CDT) using the area under the receiver operating characteristic curve (AUC). The best cut points were obtained on the basis of diagnostic accuracy (DA) and kappa index. Results. A total sample of 307 subjects (176 CI) was analyzed. The Mini-Cog displayed an AUC (±SE) of 0.78 ± 0.02, which was significantly inferior to the AUC of the CDT (0.84 ± 0.02), the MMS (0.84 ± 0.02), and the MMS + CDT (0.86 ± 0.02). The best cut point of the Mini-Cog was 1/2 (sensitivity 0.60, specificity 0.90, DA 0.73, and kappa index 0.48 ± 0.05). Conclusions. The utility of the Mini-Cog for detection of CI in PC was very modest, clearly inferior to the MMS or the CDT. These results do not permit recommendation of the Mini-Cog in PC.
Descripción : Journal Article;
URI: http://hdl.handle.net/10668/1303
Versión del editor : http://www.hindawi.com/journals/ijad/2013/285462/abs/
DOI: 10.1155/2013/285462
ISSN : 2090-8024 (Online)
Appears in Collections:01- Artículos - Hospital Virgen de las Nieves

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