Abstract:
BACKGROUND:There are different scales in Spanish for cognitive and behavioral assessment of patients with severe dementia. The objective of this study was to select those scales that are more accessible, useful and with better psychometric properties, both for clinical practice and for research. METHODS:Literature review, by experts in the field, of scales of cognitive and behavioral assessment in dementia in the main scientific databases. Published in Spanish or English, excluding those not validated in Spanish. RESULTS:11 bibliographical references were selected. Cognitive scales: Severe Impairment Battery was the one with the most cognitive areas, its abbreviated version (SIB-s) had the best internal consistency (α=0.96), Baylor Profound Mental Status Examination had very good psychometric properties with 0.99 reliability and excellent concurrent validity with Mini-Mental State Examination (r=-0.91). Severe Cognitive Impairment Profile was the only one that allowed establishing subgroups of cognitive impairment. Behavioral scales: Neuropsychiatric Inventory was the gold standard in dementias, but there was only one specific scale for severe Alzheimer's disease, the Baylor Profound Mental Status Examination behavioral subscale. CONCLUSIONS:In Spanish severe dementia, Severe Cognitive Impairment Profile and the Neuropsychiatric Inventory are the gold standard tool for cognitive assessment for research studies, and the Baylor Profound Mental Status Examination is the most useful for daily clinical practice. OBJETIVO:Existen diferentes escalas en español para la valoración cognitiva y conductual de los pacientes con demencia severa. El objetivo de este estudio fue seleccionar aquellas escalas más accesibles, útiles y con mejores propiedades psicométricas, tanto para la práctica clínica como para fines investigadores. METODOS:Se realizó una revisión bibliográfica, por expertos en la materia, de escalas de valoración cognitiva y conductual sobre demencia en las principales bases de datos científicas. Debían estar publicadas en español o inglés, excluyendo aquellas no validadas al español. RESULTADOS:Se seleccionaron 11 referencias bibliográficas. En cuanto a escalas cognitivas: la Severe Impairment Battery era la que más áreas cognitivas en-globaba; su versión abreviada (SIB-s) presentaba la mejor consistencia interna (α=0,96); el Baylor Profound Mental Status Examination presentaba muy buenas propiedades psicométricas, con fiabilidad 0,99 y excelente validez concurrente con el Mini-Mental State Examination (r=-0,91); el Severe Cognitive Impairment Profile era la única que permitía establecer subgrupos de deterioro cognitivo. En cuanto a escalas conductuales: el Neuropsychiatric Inventory era el gold standard en demencias. Solo había una escala específica para la enfermedad de Alzheimer, el Baylor Profound Mental Status Examination subescala conductual. CONCLUSIONES:En demencias severas, el Severe Cognitive Impairment Profile y el Neuropsychiatric Inventory son las herramientas más completas para estudios de investigación, y el Baylor Profound Mental Status Examination la más útil para la práctica clínica.
journal_name
Rev Esp Salud Publicajournal_title
Revista espanola de salud publicaauthors
Salmerón Ríos S,Lozoya Moreno S,Soler Moratalla I,Salmerón Ríos R,Ramírez Relinque L,Abizanda Soler Psubject
Has Abstractpub_date
2020-09-21 00:00:00eissn
1135-5727issn
2173-9110journal_volume
94pub_type
杂志文章,评审abstract:BACKGROUND:The province of Havana City, the capital and most densely populated city in Cuba, totals around 27% of the new cases of tuberculosis. This article is for the purpose of describing the distribution and trend of the tuberculosis cases rates from 1986 to 1998, by municipalities and age groups in this province. ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVE:Childhood obesity is a global problem, sociodemographic and cultural factors influence its presence. An analysis of disparities in the prevalence of childhood obesity in Peru was made by sex and region in 2015. METHODS:Analysis of the information reported by the Sistema de Información del Estado Nutricional ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2016-09-13 00:00:00
abstract::The pandemic influenza (H1N1) 2009 raised a number of issues, of which we address the following: Why did between 25 and 30% of severe influenza cases show no obvious risk factor? We hypothesize that an element that can contribute to the answer are host genetic risk factors involved in poor disease progression. Several...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272011000100004
更新日期:2011-01-01 00:00:00
abstract::This study reviews the motivations of companies to set out a policy for controlling smoking, the economic benefits for the company resulting from such a policy and the costs, broken down by European Union countries. The literature on the costs of implementing a policy related to smoking at the workplace is reviewed. T...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::The precautionary principle is a response to uncertainty in the face of risks to health or the environment. In general, it involves taking measures to avoid potential harm, despite lack of scientific certainty. In recent years it has been applied, not without difficulties, as a legal and political principle in many co...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272005000200003
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:In order for vaccination programs to be carried out properly, it is essential for the vaccination coverage to be known. On the Balearic Islands, the reported coverage was much less than for the rest of Spain. The objective of this study is that of estimating the coverage of the vaccinations included on the r...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Pneumococcal vaccine is an effective preventive measure against pneumococcal infections. Cost-effectiveness of pneumococcal vaccination of 5 or more years aged population of Catalonia has been evaluated in this study. METHODS:Cost-effectiveness has been estimated in terms of net cost per life-year gained (L...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1995-09-01 00:00:00
abstract::The Millennium Development Goals (MDGs) are now at the midterm of their target period, as 2015 is the date scheduled by the United Nations Organisation (UN) for their attainment. The purpose of this article is to review the current situation of the MDGs worldwide and to analyse the barriers which are preventing them f...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272008000500002
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Physical inactivity remains a public health problem worldwide. The purpose of this study was to determine compliance with physical activity (PA) recommendations developed by the World Health Organization (WHO) and to analyze the association with different cardiovascular risk factors (CVRF) and sociodemograph...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272015000500003
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:There are recommendations to prevent falls. Our goal is to determine, in older people, the knowledge and adherence to these recommendations, and to analyze the demographic characteristics and associated morbidity. METHODS:Observational study of prevalence and crossed association. The target population are o...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:Most patient classification systems have been designed in the United States for the purpose of availing of a tool providing a means of gauging the use of resources. This study was aimed at calculating the mean relative weights (MRW's) for the cost of care at several primary care health facilities as compared...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272006000100006
更新日期:2006-01-01 00:00:00
abstract:BACKGROUNDS:Meningococcal disease remains a serious public health problem worldwide. In Catalonia, after implementing the vaccination program, there has been a significant decrease in cases caused by meningococcus C. METHODS:Reported cases of meningococcal disease between 1997 and 2008 were analyzed to determine the e...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272009000500013
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVE:In the last decade, public policy makers are applying new tools to promote healthy habits, starting from the behavioral economics sciences and social psychology. These tools are known as nudges, and before being applied, the degree of acceptance that the population presents about them must be analyzed. The ob...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-07-24 00:00:00
abstract:BACKGROUND:The aim of this study was to evaluate the screening strategy (quantitative immunological test vs biochemical test) in a population-based screening program for colorectal cancer (CRC) in Catalonia. METHODS:The fourth round of a screening program for CRC with a fecal occult blood test was implemented in Hospi...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272011120000008
更新日期:2011-12-01 00:00:00
abstract::In March 2020, the World Health Organization declared the 2019 coronavirus disease (COVID-19) outbreak a pandemic, with the coronavirus disease spreading worryingly fast. In this context, information systems, digital health (electronic health, mobile health), the Internet of things, play a key role, since they can con...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2021-01-21 00:00:00
abstract:BACKGROUND:There are conflicting results on the role of neuroticism as a risk factor for post-traumatic stress disorder (PTSD). The objectives of this study were to estimate the magnitude and direction of the association between neuroticism and PTSD, and to analyze the influence of different moderator variables on effe...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,meta分析,评审
doi:10.4321/S1135-57272014000100003
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:The evaluation of vaccination programmes using cost estimation is an essential tool for immunization policy. The aim of this study was to describe the cost of vaccination through-out life in Spain, both in healthy and risk groups persons. METHODS:Description of cost of vaccination following the national immu...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-02-11 00:00:00
abstract:BACKGROUND:This study is aimed at establishing the possible associations between the number of admissions through the emergency room at the "Juan Canalejol" Hospital in Corunna in 1994-1994 due to organic, circulatory and respiratory reasons and the weather variables introduced as being exogenous for the purpose of pre...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:To Study the incidence of coronary heart disease (CHD) and all-cause mortality in a cohort of men followed during 28 years, and their association with serum cholesterol, systolic blood pressure, glycemia, cigarette smoking and body mass index measured at baseline. METHODS:A cohort of 1,059 men aged 30 to 59...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272004000200009
更新日期:2004-03-01 00:00:00
abstract::This study analyses the historical background data on Spanish community nutrition by means of the study of the first attempts toward institutionalization which took place in the Nutrition and Food Hygiene Division of the Spanish National Health School, restricting the search to the 1930-1936 period. In conjunction wit...
journal_title:Revista espanola de salud publica
pub_type: 历史文章,杂志文章
doi:10.1590/s1135-57272007000500003
更新日期:2007-09-01 00:00:00
abstract::Falls in the elderly are a serious problem that results in large health care expenditures. To prevent them, it has been shown that the key is an epidemiologic knowledge of the target population. The purpose of this systematic review was to identify the incidence, risk factors and consequences of falls in the Spanish p...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272008000100004
更新日期:2008-01-01 00:00:00
abstract::This article provides an account of the qualitative research experiment conducted by the Public Health Administration of the Autonomous Community of Madrid from 1991 to date. This research was divided into two working areas, that is, the "Sociocultural Health Information System" and the "Research Program". The former ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
abstract:BACKGROUND:Given that there are different ways of setting out clinical test results, this study is aimed at ascertaining whether the way in which these results are set out has any bearing on the intention to prescribed on the part of Primary Care physicians. METHODS:Randomized, multi-center cross-study. Following a ra...
journal_title:Revista espanola de salud publica
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1590/s1135-57272004000100004
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:The Spanish registry of Covid-19 in Spanish pregnant women, made up of 100 centers, is created in response to the need to know the morbidity that Covid-19 generates in pregnant women and their newborns, to know the real incidence of the disease in this population group and to establish and monitor the package...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-09-18 00:00:00
abstract:BACKGROUND:It is described an acute gastroenteritis outbreak of probable hydric transmission in Ontinyent (Valencia). It was declared on the 31st of January, 1992 and affected 3541 people according to the declaration done by the sanitary services who attended the patients. The clinical situation was characterized by th...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
abstract:BACKGROUND:Even if there is a wide consensus on the concept of a dependent individual, in practice national valuation systems produce completely different results. The objective in this work is to compare the application of different valuation scales for dependency on the Spanish population and to identify the differen...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272009000300004
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:This study assesses the effectiveness of the palliative home care for the purpose of ascertaining whether terminal cancer patients treated by Homecare Support Teams have a better quality of life than those treated by Primary Care Teams. METHODS:A quasi-experimental prospective study conducted in Madrid Heal...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:The Hospital Morbidity Survey (EMH) includes, at the moment, 85% of hospitals and 90% of discharges, and is the only national data source that allows to deepen with information about diagnostics, gender or age, in the study of hospitals as place of death. This work aims to analyze the presence of inhospital ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272008000600010
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:During the summer of 2009, Spain experienced the circulation of the novel influenza (H1N1)2009 virus, beyond the usual period of influenza activity, increasingly evolving up to the presentation in the early autumn of the first wave of the pandemic virus. The objectives of this study are to describe the evolu...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272010000500009
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:A wave of influenza A (H1N1) 2009 was registered in the summer of 2009. We evaluated its repercussion on primary care consultations not diagnosed as influenza. METHODS:We analysed primary care consultations in the Navarre Health Service from 21 June to 21 September 2009 with a diagnosis of influenza (Intern...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272011000100014
更新日期:2011-01-01 00:00:00