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Clinical Utility of Cognistat in Multiprofessional Team Evaluations of Patients with Cognitive Impairment in Swedish Primary Care
Joint Authors
Kvitting, Anna S.
Wressle, Ewa
Johansson, Maria M.
Marcusson, Jan
Source
International Journal of Family Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-23
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Diagnostic evaluations of dementia are often performed in primary health care (PHC).
Cognitive evaluation requires validated instruments.
Objective.
To investigate the diagnostic accuracy and clinical utility of Cognistat in a primary care population.
Methods.
Participants were recruited from 4 PHC centres; 52 had cognitive symptoms and 29 were presumed cognitively healthy.
Participants were tested using the Mini-Mental State Examination (MMSE), the Clock Drawing Test (CDT), and Cognistat.
Clinical diagnoses, based on independent neuropsychological examination and a medical consensus discussion in secondary care, were used as criteria for diagnostic accuracy analyses.
Results.
The sensitivity, specificity, positive predictive value, and negative predictive value were 0.85, 0.79, 0.85, and 0.79, respectively, for Cognistat; 0.59, 0.91, 0.90, and 0.61 for MMSE; 0.26, 0.88, 0.75, and 0.46 for CDT; 0.70, 0.79, 0.82, and 0.65 for MMSE and CDT combined.
The area under the receiver operating characteristic curve was 0.82 for Cognistat, 0.75 for MMSE, 0.57 for CDT, and 0.74 for MMSE and CDT combined.
Conclusions.
The diagnostic accuracy and clinical utility of Cognistat was better than the other tests alone or combined.
Cognistat is well adapted for cognitive evaluations in PHC and can help the general practitioner to decide which patients should be referred to secondary care.
American Psychological Association (APA)
Johansson, Maria M.& Kvitting, Anna S.& Wressle, Ewa& Marcusson, Jan. 2014. Clinical Utility of Cognistat in Multiprofessional Team Evaluations of Patients with Cognitive Impairment in Swedish Primary Care. International Journal of Family Medicine،Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-488111
Modern Language Association (MLA)
Johansson, Maria M.…[et al.]. Clinical Utility of Cognistat in Multiprofessional Team Evaluations of Patients with Cognitive Impairment in Swedish Primary Care. International Journal of Family Medicine No. 2014 (2014), pp.1-10.
https://search.emarefa.net/detail/BIM-488111
American Medical Association (AMA)
Johansson, Maria M.& Kvitting, Anna S.& Wressle, Ewa& Marcusson, Jan. Clinical Utility of Cognistat in Multiprofessional Team Evaluations of Patients with Cognitive Impairment in Swedish Primary Care. International Journal of Family Medicine. 2014. Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-488111
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-488111