RT Journal Article
T1 Practical application of brief cognitive tests.
A1 Olazarán, J
A1 Hoyos-Alonso, M C
A1 del Ser, T
A1 Garrido Barral, A
A1 Conde-Sala, J L
A1 Bermejo-Pareja, F
A1 López-Pousa, S
A1 Pérez-Martínez, D
A1 Villarejo-Galende, A
A1 Cacho, J
A1 Navarro, E
A1 Oliveros-Cid, A
A1 Peña-Casanova, J
A1 Carnero-Pardo, C
K1 Atención especializada
K1 Atención primaria
K1 Brief cognitive tests
K1 Cognitive impairment
K1 Cribado
K1 Detección
K1 Detection
K1 Deterioro cognitivo
K1 Primary care
K1 Screening
K1 Specialised care
K1 Test cognitivos breves
AB Brief cognitive tests (BCT) may help detect cognitive impairment (CI) in the clinical setting. Several BCT have been developed and/or validated in our country, but we lack specific recommendations for use. Review of studies on the diagnostic accuracy of BCT for CI, using studies conducted in Spain with BCT which take less than 20 min. We provide recommendations of use based on expert consensus and established on the basis of BCT characteristics and study results. The Fototest, the Memory Impairment Screen (MIS) and the Mini-Mental State Examination (MMSE) are the preferred options in primary care; other BCT (Clock Drawing Test [CDT], test of verbal fluency [TVF]) may also be administered in cases of negative results with persistent suspected CI or concern (stepwise approach). In the specialised care setting, a systematic assessment of the different cognitive domains should be conducted using the Montreal Cognitive Assessment, the MMSE, the Rowland Universal Dementia Assessment, the Addenbrooke's Cognitive Examination, or by means of a stepwise or combined approach involving more simple tests (CDT, TVF, Fototest, MIS, Memory Alteration Test, Eurotest). Associating an informant questionnaire (IQ) with the BCT is superior to the BCT alone for the detection of CI. The choice of instruments will depend on the patient's characteristics, the clinician's experience, and available time. The BCT and IQ must reinforce - but never substitute - clinical judgment, patient-doctor communication, and inter-professional dialogue.
YR 2015
FD 2015-09-14
LK http://hdl.handle.net/10668/10272
UL http://hdl.handle.net/10668/10272
LA en
LA es
DS RISalud
RD Apr 6, 2025