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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(02): 149-154
DOI: 10.1590/0004-282X20150202
Article

Brief Cognitive Screening Battery (BCSB) is a very useful tool for diagnosis of probable mild Alzheimer´s disease in a geriatric clinic

Bateria Breve de Rastreio Cognitivo (BBRC) para o diagnóstico da doença de Alzheimer leve em uma clínica geriátrica
Helenice Fichman-Charchat
1   Pontifícia Universidade Católica do Rio de Janeiro, Rio de Janeiro RJ, Brazil;
,
Cristina Vieira Miranda
1   Pontifícia Universidade Católica do Rio de Janeiro, Rio de Janeiro RJ, Brazil;
,
Conceição Santos Fernandes
1   Pontifícia Universidade Católica do Rio de Janeiro, Rio de Janeiro RJ, Brazil;
,
Daniel Mograbi
1   Pontifícia Universidade Católica do Rio de Janeiro, Rio de Janeiro RJ, Brazil;
,
Rosinda Martins Oliveira
2   Universidade Federal do Rio de Janeiro, Rio de Janeiro RJ, Brazil;
,
Regina Novaes
3   Hospital Federal dos Servidores do Estado do Rio de Janeiro, Rio de Janeiro/ RJ, Brazil.
,
Daniele Aguiar
3   Hospital Federal dos Servidores do Estado do Rio de Janeiro, Rio de Janeiro/ RJ, Brazil.
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ABSTRACT

The diagnosis of early signs of Alzheimer’s disease (AD) is a major challenge in a heterogeneous population.

Objective To investigate the use of the Brief Cognitive Screening Battery (BCSB) for the diagnosis of mild AD in a geriatric outpatient unit of a public hospital in the city of Rio de Janeiro.

Method BCSB was administered to 51 elderly adults with a clinical diagnosis of probable AD and 123 older adults without dementia (non-AD).

Results AD patients performed worse than non-AD group in all BCSB tests, except Clock Drawing (p = 0.10). The ROC curves and Logistic Regression analysis indicated that delayed recall in the figure memory test was the best predictor, screening mild AD patients with sensibility and specificity superior to 80%.

Conclusion The BCSB was accurate in identifying people with AD in a geriatric outpatient clinic at a public hospital, including elderly people with chronic diseases, physical frailty and cognitive impairment

RESUMO

O diagnóstico de sinais precoces da doença de Alzheimer (DA) é um grande desafio.

Objetivo Investigar o uso da Bateria Breve de Rastreio Cognitivo (BCSB) para o diagnóstico de DA leve, em ambulatório de geriatria de hospital público do Rio de Janeiro.

Método A BCSB foi administrada a 51 idosos com DA e 123 idosos sem demência (não-DA). Pacientes DA tiveram pior desempenho do que o grupo não-DA na BCSB, exceto desenho do Relógio (p = 0,10).

Resultados Os resultados se mativeram após o controle de escolaridade e idade. As curvas ROC e análise de regressão logística indicaram que evocação tardia do teste de memória de figuras foi o melhor preditor para rastreio, com sensibilidade e especificidade superiores a 80%.

Conclusão A BCSB, especialmente evocação tardia, identificou pessoas com DA em ambulatório de geriatria de hospital público, em uma amostra incluindo idosos com doenças crçnicas, fragilidade física e comprometimento cognitivo.

Alzheimer’s disease - aging - memory
doença de Alzheimer - envelhecimento - memória


Publikationsverlauf

Eingereicht: 26. März 2015

Angenommen: 19. Oktober 2015

Artikel online veröffentlicht:
06. September 2023

© 2015. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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