Usefulness of the Japanese version of Rapid Dementia Screening Test for mild cognitive impairment in older patients with cardiovascular disease: a cross-sectional study.
| Title: | Usefulness of the Japanese version of Rapid Dementia Screening Test for mild cognitive impairment in older patients with cardiovascular disease: a cross-sectional study. |
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| Authors: | Takuji Adachi, Yuki Tsunekawa, Akihito Matsuoka, Daisuke Tanimura |
| Source: | Journal of Geriatric Cardiology; 2021, Vol. 18 Issue 4, p245-251, 7p |
| Subject Terms: | DIAGNOSIS of dementia, MILD cognitive impairment, CARDIOVASCULAR diseases, MEDICAL screening, COGNITIVE ability |
| Abstract: | BACKGROUND Cognitive decline is common among older patients with cardiovascular disease (CVD) and can decrease their self-management abilities. However, the instruments for identifying mild cognitive impairment (MCI) are not always feasible in clinical practice. Therefore, this study evaluated whether MCI could be detected using the Japanese version of the Rapid Dementia Screening Test (RDST-J), which is a simple screening tool for identifying cognitive decline. METHODS This retrospective single-center study included patients who were = 65 years old and hospitalized because of CVD. Patients with a pre-hospitalization diagnosis of dementia were excluded. Each patient's cognitive function had been measured at discharge using the RDST-J and the Japanese version of the Montreal Cognitive Assessment (MoCA-J), which is a standard tool for MCI screening. The correlation between the two scores was evaluated using Spearman's rank correlation coefficient. Receiver operating characteristic (ROC) analysis was also to evaluate whether the RDST-J could identify MCI, which was defined as a MoCA-J score of = 25 points. RESULTS The study included 78 patients (mean age: 77.2 ± 8.9 years). The RDST-J and MoCA-J scores were strongly correlated (r = 0.835, P < 0.001). The ROC analysis revealed that an RDST-J score of = 9 points provided 75.4% sensitivity and 95.2% specificity for identifying MCI, with an area under the curve of 0.899 (95% CI: 0.835-0.964). The same cut-off value was identified when excluding patients with a high probability of dementia (RDST-J score of = 4 points). CONCLUSIONS The RDST-J may be a simple and effective tool for identifying MCI in older patients with CVD. [ABSTRACT FROM AUTHOR] |
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| Database: | Complementary Index |
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| Items | – Name: Title Label: Title Group: Ti Data: Usefulness of the Japanese version of Rapid Dementia Screening Test for mild cognitive impairment in older patients with cardiovascular disease: a cross-sectional study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Takuji+Adachi%22">Takuji Adachi</searchLink><br /><searchLink fieldCode="AR" term="%22Yuki+Tsunekawa%22">Yuki Tsunekawa</searchLink><br /><searchLink fieldCode="AR" term="%22Akihito+Matsuoka%22">Akihito Matsuoka</searchLink><br /><searchLink fieldCode="AR" term="%22Daisuke+Tanimura%22">Daisuke Tanimura</searchLink> – Name: TitleSource Label: Source Group: Src Data: Journal of Geriatric Cardiology; 2021, Vol. 18 Issue 4, p245-251, 7p – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22DIAGNOSIS+of+dementia%22">DIAGNOSIS of dementia</searchLink><br /><searchLink fieldCode="DE" term="%22MILD+cognitive+impairment%22">MILD cognitive impairment</searchLink><br /><searchLink fieldCode="DE" term="%22CARDIOVASCULAR+diseases%22">CARDIOVASCULAR diseases</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+screening%22">MEDICAL screening</searchLink><br /><searchLink fieldCode="DE" term="%22COGNITIVE+ability%22">COGNITIVE ability</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: BACKGROUND Cognitive decline is common among older patients with cardiovascular disease (CVD) and can decrease their self-management abilities. However, the instruments for identifying mild cognitive impairment (MCI) are not always feasible in clinical practice. Therefore, this study evaluated whether MCI could be detected using the Japanese version of the Rapid Dementia Screening Test (RDST-J), which is a simple screening tool for identifying cognitive decline. METHODS This retrospective single-center study included patients who were = 65 years old and hospitalized because of CVD. Patients with a pre-hospitalization diagnosis of dementia were excluded. Each patient's cognitive function had been measured at discharge using the RDST-J and the Japanese version of the Montreal Cognitive Assessment (MoCA-J), which is a standard tool for MCI screening. The correlation between the two scores was evaluated using Spearman's rank correlation coefficient. Receiver operating characteristic (ROC) analysis was also to evaluate whether the RDST-J could identify MCI, which was defined as a MoCA-J score of = 25 points. RESULTS The study included 78 patients (mean age: 77.2 ± 8.9 years). The RDST-J and MoCA-J scores were strongly correlated (r = 0.835, P < 0.001). The ROC analysis revealed that an RDST-J score of = 9 points provided 75.4% sensitivity and 95.2% specificity for identifying MCI, with an area under the curve of 0.899 (95% CI: 0.835-0.964). The same cut-off value was identified when excluding patients with a high probability of dementia (RDST-J score of = 4 points). CONCLUSIONS The RDST-J may be a simple and effective tool for identifying MCI in older patients with CVD. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Group: Ab Data: <i>Copyright of Journal of Geriatric Cardiology is the property of Journal of Geriatric Cardiology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.11909/j.issn.1671-5411.2021.04.001 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 245 Subjects: – SubjectFull: DIAGNOSIS of dementia Type: general – SubjectFull: MILD cognitive impairment Type: general – SubjectFull: CARDIOVASCULAR diseases Type: general – SubjectFull: MEDICAL screening Type: general – SubjectFull: COGNITIVE ability Type: general Titles: – TitleFull: Usefulness of the Japanese version of Rapid Dementia Screening Test for mild cognitive impairment in older patients with cardiovascular disease: a cross-sectional study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Takuji Adachi – PersonEntity: Name: NameFull: Yuki Tsunekawa – PersonEntity: Name: NameFull: Akihito Matsuoka – PersonEntity: Name: NameFull: Daisuke Tanimura IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: 2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 16715411 Numbering: – Type: volume Value: 18 – Type: issue Value: 4 Titles: – TitleFull: Journal of Geriatric Cardiology Type: main |
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