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Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults

Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults

Authors :
Nicole Caldichoury
Marcio Soto-Añari
Loida Camargo
María Fernanda Porto
Jorge Herrera-Pino
Salomón Shelach
Claudia Rivera-Fernández
Miguel Ramos-Henderson
Pascual Angel Gargiulo
Norman López
Source :
Dementia & Neuropsychologia (2022)
Publication Year :
2022
Publisher :
Associação Neurologia Cognitiva e do Comportamento, 2022.

Abstract

ABSTRACT. The COVID-19 pandemic has shown the need for neuropsychological care for older adults with memory complaints in different contexts, including rural areas or areas with difficult access. Objective: This study aimed to analyze the clinical utility of the Phototest, through telemedicine, to identify mild cognitive impairment in rural older adults with memory complaints, during the COVID-19 pandemic. Methods: We performed a cross-sectional, case-control, and clinical utility comparison of brief cognitive tests (BCTs). The sample included 111 rural elderly people with mild cognitive impairment (MCI) and 130 healthy controls from the Los Lagos region, Chile. The instruments adopted were modified Mini-Mental State Examination (MMSEm) and adapted version of the Phototest (PT) for Chile. Results: To identify mild cognitive impairment, using a cutoff score of 27-28 points, the Phototest showed a sensitivity of 96.6% and a specificity of 81.8%; indicators superior to those of the MMSEm. Conclusions: The Phototest is more accurate than the MMSEm in identifying cognitive alterations in rural older adults with cognitive memory complaints through telemedicine. Therefore, its use in primary care is recommended in order to perform early detection of preclinical cognitive alterations in mild cognitive impairment or neurodegenerative diseases.

Details

Language :
English
ISSN :
19805764
Database :
Directory of Open Access Journals
Journal :
Dementia & Neuropsychologia
Publication Type :
Academic Journal
Accession number :
edsdoj.3d4b638cf044babb0a243951c2a7737
Document Type :
article
Full Text :
https://doi.org/10.1590/1980-5764-dn-2021-0082