Utilidad diagnóstica y validez predictiva del uso conjunto de Fototest y Mini-Cog en deterioro cognitivo

Carnero-Pardo, C.; López-Alcalde, Samuel; Florido-Santiago, M.; Espinosa-García, María; Rego-García, I.; Calle-Calle, R; Carrera-Muñoz, Ismael; Vega-Cotarelo, R de la

doi:10.1016/j.nrl.2021.01.017

Cited by 3 publications

(3 citation statements)

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“…(8) Los autores coinciden que el Fototest no se ve influenciado por la edad, sexo, nivel educativo, considerándolo en uno de los test con mayor utilidad tanto por su efectividad y costo al momento de aplicación, así como la duración del test permitiéndole brindar una mejor calidad de atención a nivel primario, identificando deterioro cognitivo. (8,10,26) Al igual Carnero y col. (27) en un estudio con un total de 448 participantes con una edad media de 60,5 siendo más predominante mujeres y pacientes con estudios primarios, la utilidad diagnóstica del Fototest es ligeramente superior al Mini-Cog (0,93 ± 0,01 vs 0,89 ± 0,02), el área bajo la curva ROC fue de 0,93 ± 0,01 con una exactitud de 84,9, brindando una conclusión que son fáciles de aplicar en un tiempo menor de 200 segundos.…”

Section: Discussionunclassified

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Montreal cognitive assessment test versus Phototest for diagnostic of cognitive impairment in older adults

Cobos

Sánchez

Mena

et al. 2022

Salud, Ciencia y Tecnología

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Introducción: El deterioro cognitivo constituye uno de los retos sociosanitarios más importantes que se presentan en la sociedad, se caracteriza por un deterioro de las funciones cognitivas como lenguaje, memoria, atención, pensamiento y cálculo; dada su epidemiología se han implementado instrumentos para su diagnóstico temprano como: el test de evaluación cognitiva de Montreal y el Fototest.Objetivo: Describir de manera comparativa la validez interna del MoCA test y Fototest para el diagnóstico de deterioro cognitivo en adultos mayores mediante recopilación bibliográfica Metodología: Revisión bibliográfica de tipo narrativa usando una búsqueda sistemática, obteniendo información de base de datos como Pubmed, Science Direct y Scopus. Con la ayuda de los términos de búsqueda como “Cognitive dysfunction” AND “Fototest”; Cognitive dysfunction” AND “Montreal”Resultados: Con la investigación planteada se encontró 6 artículos los mismo que fueron analizados, encontrándose estudios con mayor sensibilidad 0.94 y especificidad 0.60 a favor del test de evaluación de Montreal para diagnóstico de deterioro cognitivo con respecto al Fototest. Sin embargo, no se encontraron suficientes estudios para el Fototest, aunque, este último presento ventajas en el tiempo de aplicación y no discrimina el nivel educativo.Conclusiones: En esta revisión se encontró que el deterioro cognitivo en los adultos mayores se ve influenciado sobre todo por edad y nivel educativo, tomando en cuenta la recopilación de la información se evidencio claramente que los adultos mayores con nivel educativo bajo presentan menor desarrollo cognitivo y mayor riesgo de padecer deterioro cognitivo.

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Section: Discussionunclassified

“…Los autores al comparar el Fototest con otros test de cribado obtuvieron que presenta una sensibilidad y especificidad para diagnóstico de deterioro cognitivo, teniendo en cuenta que los test deben constar de una validez que presentó una correlación positiva y un área bajo la curva COR que es útil para brindar un diagnóstico. (11,26,27)…”

Section: Discussionunclassified

Montreal cognitive assessment test versus Phototest for diagnostic of cognitive impairment in older adults

Cobos

Sánchez

Mena

et al. 2022

Salud, Ciencia y Tecnología

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“…In contrast, the Phototest (PT) 23 has demonstrated its usefulness in primary health care centers, since it does not use pencil or paper, which facilitates its performance and evaluation, especially in people with lower educational levels or in those who are illiterate 24,25 . It has a higher sensitivity and specificity than traditional tests with respect to dementia and MCI 26,27 and has shown to be more effective and cheaper than the Mini-Mental State Examination (MMSE) in multiple studies [27][28][29] . Finally, given its structural and managing characteristics, it is believed to be easily adapted to virtual assessment formats.…”

Section: Introductionmentioning

confidence: 99%

Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults

Caldichoury

Soto‐Añari

Camargo

et al. 2022

Dement. neuropsychol.

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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.

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Comparison of the Diagnostic Accuracy of Five Cognitive Screening Tests for Diagnosing Mild Cognitive Impairment in Patients Consulting for Memory Loss

Valles-Salgado,

Matias-Guiu,

Delgado-Álvarez

et al. 2024

JCM

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Objectives: We aimed to evaluate and compare the diagnostic capacity of five cognitive screening tests for the diagnosis of mild cognitive impairment (MCI) in patients consulting by memory loss. Methods: A cross-sectional study involving 140 participants with a mean age of 74.42 ± 7.60 years, 87 (62.14%) women. Patients were classified as MCI or cognitively unimpaired according to a comprehensive neuropsychological battery. The diagnostic properties of the following screening tests were compared: Mini-Mental State Examination (MMSE), Addenbrooke’s Cognitive Examination III (ACE-III) and Mini-Addenbrooke (M-ACE), Memory Impairment Screen (MIS), Montreal Cognitive Assessment (MoCA), and Rowland Universal Dementia Assessment Scale (RUDAS). Results: The area under the curve (AUC) was 0.861 for the ACE-III, 0.867 for M-ACE, 0.791 for MoCA, 0.795 for MMSE, 0.731 for RUDAS, and 0.672 for MIS. For the memory components, the AUC was 0.869 for ACE-III, 0.717 for MMSE, 0.755 for MoCA, and 0.720 for RUDAS. Cronbach’s alpha was 0.827 for ACE-III, 0.505 for MMSE, 0.896 for MoCA, and 0.721 for RUDAS. Correlations with Free and Cued Selective Reminding Test were moderate with M-ACE, ACE-III, and MoCA, and moderate for the other tests. The M-ACE showed the best balance between diagnostic capacity and time of administration. Conclusions: ACE-III and its brief version M-ACE showed better diagnostic properties for the diagnosis of MCI than the other screening tests. MoCA and MMSE showed adequate properties, while the diagnostic capacity of MIS and RUDAS was limited.

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Utilidad diagnóstica y validez predictiva del uso conjunto de Fototest y Mini-Cog en deterioro cognitivo

Cited by 3 publications

References 30 publications

Montreal cognitive assessment test versus Phototest for diagnostic of cognitive impairment in older adults

Montreal cognitive assessment test versus Phototest for diagnostic of cognitive impairment in older adults

Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults

Comparison of the Diagnostic Accuracy of Five Cognitive Screening Tests for Diagnosing Mild Cognitive Impairment in Patients Consulting for Memory Loss

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