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A clinical index to predict progression from mild cognitive impairment to dementia due to Alzheimer's disease.

Authors :
Lee, Sei J
Lee, Sei J
Ritchie, Christine S
Yaffe, Kristine
Stijacic Cenzer, Irena
Barnes, Deborah E
Lee, Sei J
Lee, Sei J
Ritchie, Christine S
Yaffe, Kristine
Stijacic Cenzer, Irena
Barnes, Deborah E
Source :
PloS one; vol 9, iss 12, e113535; 1932-6203
Publication Year :
2014

Abstract

BackgroundMild cognitive impairment is often a precursor to dementia due to Alzheimer's disease, but many patients with mild cognitive impairment never develop dementia. New diagnostic criteria may lead to more patients receiving a diagnosis of mild cognitive impairment.ObjectiveTo develop a prediction index for the 3-year risk of progression from mild cognitive impairment to dementia relying only on information that can be readily obtained in most clinical settings.Design and participants382 participants diagnosed with amnestic mild cognitive impairment enrolled in the Alzheimer's Disease Neuroimaging Initiative (ADNI), a multi-site, longitudinal, observational study.Main predictors measuresDemographics, comorbid conditions, caregiver report of participant symptoms and function, and participant performance on individual items from basic neuropsychological scales.Main outcome measureProgression to probable Alzheimer's disease.Key resultsSubjects had a mean (SD) age of 75 (7) years and 43% progressed to probable Alzheimer's disease within 3 years. Important independent predictors of progression included being female, resisting help, becoming upset when separated from caregiver, difficulty shopping alone, forgetting appointments, number of words recalled from a 10-word list, orientation and difficulty drawing a clock. The final point score could range from 0 to 16 (mean [SD]: 4.2 [2.9]). The optimism-corrected Harrell's c-statistic was 0.71(95% CI: 0.68-0.75). Fourteen percent of subjects with low risk scores (0-2 points, n = 124) converted to probable Alzheimer's disease over 3 years, compared to 51% of those with moderate risk scores (3-8 points, n = 223) and 91% of those with high risk scores (9-16 points, n = 35).ConclusionsAn index using factors that can be obtained in most clinical settings can predict progression from amnestic mild cognitive impairment to probable Alzheimer's disease and may help clinicians differentiate between mild cognitive impairment patien

Details

Database :
OAIster
Journal :
PloS one; vol 9, iss 12, e113535; 1932-6203
Notes :
application/pdf, PloS one vol 9, iss 12, e113535 1932-6203
Publication Type :
Electronic Resource
Accession number :
edsoai.on1287303884
Document Type :
Electronic Resource