摘要
自2013年国际营养与衰老研究所和国际老年医学协会组成的专家共识小组首次提出认知衰弱的可操作性定义后,衰弱叠加神经认知评定量表成为诊断的标准工具.在此之后研究采用不同量表及诊断截点报道社区老年人认知衰弱患病率差异有数十倍之巨,严重影响卫生决策.本文将围绕对认知衰弱临床意义的再认识、用于诊断的现有评估工具的局限性及未来可能的解决途径进行论述.
Abstract
Since the first operational definition of cognitive frailty was proposed by the expert consensus group of the International Academy of Nutrition and Aging and the International Association of Gerontology and Geriatrics in 2013,frailty and neurocognitive assessment has become the standard diagnostic tool.Since then,the reported prevalence in the literature for cognitive frailty in community-dwelling elderly people vary by dozens of times,as a result of different scales and diagnostic cut-off points,seriously affecting health decision-making.This article reviewed the current literature with a focus on the re-recognition of the clinical significance of cognitive frailty,the limitations of existing assessment tools for diagnosis,and possible solutions in the future.
基金项目
四川省科技厅重点研发计划(2021YFS0137)
NETL
NSTL
维普
万方数据