Abstract:
BACKGROUND:The Addenbrooke's Cognitive Examination (ACE) and its Revised version (ACE-R) are relatively new screening tools for cognitive impairment that may improve upon the well-known Mini-Mental State Examination (MMSE) and other brief batteries. We systematically reviewed diagnostic accuracy studies of ACE and ACE-R. METHODS:Published studies comparing ACE, ACE-R and MMSE were comprehensively sought and critically appraised. A meta-analysis of suitable studies was conducted. RESULTS:Of 61 possible publications identified, meta-analysis of qualifying studies encompassed 5 for ACE (1,090 participants) and 5 for ACE-R (1156 participants); of these, 9 made direct comparisons with the MMSE. Sensitivity and specificity of the ACE were 96.9% (95% CI = 92.7% to 99.4%) and 77.4% (95% CI = 58.3% to 91.8%); and for the ACE-R were 95.7% (95% CI = 92.2% to 98.2%) and 87.5% (95% CI = 63.8% to 99.4%). In a modest prevalence setting, such as primary care or general hospital settings where the prevalence of dementia may be approximately 25%, overall accuracy of the ACE (0.823) was inferior to ACE-R (0.895) and MMSE (0.882). In high prevalence settings such as memory clinics where the prevalence of dementia may be 50% or higher, overall accuracy again favored ACE-R (0.916) over ACE (0.872) and MMSE (0.895). CONCLUSIONS:The ACE-R has somewhat superior diagnostic accuracy to the MMSE while the ACE appears to have inferior accuracy. The ACE-R is recommended in both modest and high prevalence settings. Accuracy of newer versions of the ACE remain to be determined.
journal_name
Int Psychogeriatrjournal_title
International psychogeriatricsauthors
Larner AJ,Mitchell AJdoi
10.1017/S1041610213002329subject
Has Abstractpub_date
2014-04-01 00:00:00pages
555-63issue
4eissn
1041-6102issn
1741-203Xpii
S1041610213002329journal_volume
26pub_type
杂志文章,meta分析,评审abstract:BACKGROUND:Hospital-treated deliberate self harm and suicide among older adults have rarely been examined at a national level. METHODS:The Irish Central Statistics Office provided suicide and undetermined death data for 1980-2006. The National Registry of Deliberate Self Harm collected data relating to deliberate self...
journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610210001377
更新日期:2010-12-01 00:00:00
abstract:UNLABELLED:The aim of the current study was to test the properties of a scale especially developed for use in epidemiological surveys in low sociocultural populations, and to determine whether this scale can be used in a clinical population. MATERIAL AND METHODS:Two hundred fifty subjects took part; 150 were controls ...
journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/s1041610200006323
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND:There has been an increasing interest in the relationship between severity of disease and costs in the care of people with dementia. Much of the current evidence is based on cross-sectional data, suggesting the need to examine trends over time for this important and growing cohort of the population. METHODS...
journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2015-05-01 00:00:00
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journal_title:International psychogeriatrics
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doi:10.1017/s1041610205001316
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S104161021200083X
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:The Family Group Conference (FGC) is an approach to partnership working which brings together service users, their support network and care professionals in a family-led decision making forum. Evidence, though limited, indicates that that FGC can enhance outcomes for service providers and their users. This s...
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journal_title:International psychogeriatrics
pub_type: 共识发展会议,杂志文章
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更新日期:2007-06-01 00:00:00
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journal_title:International psychogeriatrics
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2008-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2009-12-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2018-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:1991-01-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/s1041610297004213
更新日期:1997-03-01 00:00:00
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journal_title:International psychogeriatrics
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更新日期:2016-06-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610218001151
更新日期:2019-04-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/s1041610294001675
更新日期:1994-04-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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journal_title:International psychogeriatrics
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journal_title:International psychogeriatrics
pub_type: 杂志文章,评审
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更新日期:2005-03-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2019-02-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610206004789
更新日期:2007-10-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2017-10-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610210000669
更新日期:2010-08-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章,评审
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更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Foreign home care services provided to frail older adults by individuals from the developing world are a global phenomenon. This study evaluated the challenges associated with live-in foreign home care from the perspective of older care recipients and their family members. METHODS:Qualitative interviews wer...
journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Australia has a growing aging migrant population and rates of dementia in residential care are high. The communication of persons with dementia and limited English language proficiency in residential care is an area that has received little attention in the research literature. METHOD:Thirty-nine Italian-ba...
journal_title:International psychogeriatrics
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更新日期:2005-12-01 00:00:00
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更新日期:2011-11-01 00:00:00
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journal_title:International psychogeriatrics
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更新日期:2014-03-01 00:00:00