Better prognostic accuracy in younger mild cognitive impairment patients with more years of education

Mattias Göthlin1, Marie Eckerström1, Sindre Rolstad1, Petronella Kettunen1, Anders Wallin1
1Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden

Tóm tắt

AbstractIntroductionAge and years of education influence the risk of dementia and may impact the prognostic accuracy of mild cognitive impairment subtypes.MethodsMemory clinic patients without dementia (N = 358, age 64.0 ± 7.9) were stratified into four groups based on years of age (≤64 and ≥65) and education (≤12 and ≥13), examined with a neuropsychological test battery at baseline and followed up after 2 years.ResultsThe prognostic accuracy of amnestic multi‐domain mild cognitive impairment for dementia was highest in younger patients with more years of education and lowest in older patients with fewer years of education. Conversely, conversion rates to dementia were lowest in younger patients with more years of education and highest in older patients with fewer years of education.DiscussionMild cognitive impairment subtypes and demographic information should be combined to increase the accuracy of prognoses for dementia.

Tài liệu tham khảo

10.1002/ddr.430150203 10.1001/archneurol.2009.106 10.1136/jnnp.2008.171066 10.1111/j.1365-2796.2004.01388.x Winblad B., 2004, Mild cognitive impairment—beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive Impairment, J Itern Med, 256, 240 10.1159/000477341 10.1001/jama.1994.03510370056032 10.1001/archneur.58.12.2034 10.1016/j.jalz.2012.11.007 10.1212/01.wnl.0000238517.59286.c5 10.1136/jnnp.2004.047720 10.1017/S0033291707000554 10.1056/NEJMoa0806142 10.1212/WNL.0b013e318236f0cf 10.1212/WNL.0b013e3182477eed 10.1016/j.jalz.2012.05.2188 10.1038/jcbfm.2015.147 Reisberg B., 1988, Global deterioration scale (GDS), Psychopharmacol Bull, 24, 661 10.1016/0022-3956(75)90026-6 10.1017/S1041610297004870 10.1177/089198879600900406 10.1111/j.1532-5415.1992.tb03646.x American Psychiatric Association, 2000, Diagnostic and Statistical Manual of Mental Disorders: DSM‐IV‐TR 10.1136/bmj.326.7379.41 10.1212/WNL.0000000000000621 Wechsler D., 1994, WAIS‐RS: Wechsler Adult Intelligence Scale‐Revised: Manual, 5 Wechsler D., 1997, Wechsler Adult Intelligence Scale Swedish Edition Reitan R., 1985, The Halstead‐Reitan Neuropsychological Test Battery Wechsler D., 1987, The Wechsler Memory Scale‐Revised 10.1016/0887-6177(94)90018-3 Meyers J.K., 1995, Rey Complex Figure Test and Recognition Trial 10.1037/0894-4105.12.1.29 Kaplan E.G., 1983, The Boston Naming Test 10.1007/BF02232012 Spreen O., 1998, A compendium of neuropsychological tests: administration, norms, and commentary 10.1136/jnnp.2004.050385 10.1159/000321352 Rolstad S., 2009, Cognitive reserve in relation to abeta42 in patients converting from MCI to dementia ‐ a follow‐up report, Demen Geriatr Cogn Disord, 28, 110, 10.1159/000234912 10.1017/S1355617799544056 10.1080/13854046.2013.809795 Lezak M.D., 2012, Neuropsychological Assessment Strauss E., 2006, A compendium of neuropsychological tests: administration, norms, and commentary 10.1097/JGP.0b013e31819431d5 10.1007/s10654-011-9561-x 10.1002/(SICI)1097-0258(20000315)19:5<649::AID-SIM371>3.0.CO;2-H 10.1080/01621459.1927.10502953 A.Schwartz.Diagnostic Test Calculator Available at:http://araw.mede.uic.edu/cgi‐bin/testcalc.pl Accessed October 17 2017 10.1093/arclin/acs041 10.1037/a0032650 10.1080/13607863.2017.1280767 Larner A.J., 2015, Diagnostic Test Accuracy Studies in Dementia, 10.1007/978-3-319-16697-1 10.1016/S0197-4580(98)00022-0