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认知衰弱的再认识和诊断

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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.
Research progress on issues concerning the definition of cognitive frailty
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.

Cognitive frailtyAssessment tools

汤惠宇、孙倩倩、朱欢、刘岩岩、陈燕语、覃海、王双

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四川大学华西医院老年医学中心,成都 610041

重庆大学附属中心医院风湿免疫科,重庆 400014

四川省都江堰市平义社区卫生服务中心,都江堰 611830

认知衰弱 评估工具

四川省科技厅重点研发计划

2021YFS0137

2024

中华老年医学杂志
中华医学会

中华老年医学杂志

CSTPCD北大核心
影响因子:1.606
ISSN:0254-9026
年,卷(期):2024.43(1)
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