PICS: PROPUESTA DE UN NUEVO PUNTAJE DE INTERPRETACIÓN COMBINADO DE SCREENING PARA PACIENTES CON DETERIORO COGNITIVO LEVE (DCL)

GONZALEZ-AGUILAR, JOSEFINA; ALBA FERRARA, L.

Buenos Aires

Congreso; XXI congreso de neuropsiquiatria y Neurociencia Cognitiva; 2019

Asociación Neuropsiquiátrica Argentina

Mild Cognitive Impairment (MCI) has represented a field of study of great interest for research due to the rate of evolution to different types of dementias. It is essential to have sensitive, economical and quick cognitive screening tools for early detection of MCI. The objective of the present study was to assess a new way of interpreting widely used screening tests, generating a new score: the CSIS (Combined Screening Interpretation Score). The CSIS considers the performance in various routine screening tests (Minimental, Clock drawing test, Short form of the Boston naming test, Phonological and Semantic fluency tests and the Frontal Assessment Battery). We calculated the CSIS of 90 older adults without dementia (40 controls and 50 patients with a diagnosis of MCI) matched by sex, age and educational level. The differences of the CSIS between the groups, and the discriminative capacity of the CSIS and each separate test were analyzed. CSIS cut-off points were calculated based on sensitivity and specificity. Significant differences in the CSIS were observed between the groups, as a better discriminative capacity of the CSIS compared to the other screening tests. A score of 85.75 points in the CSIS discriminates the groups with 84% sensitivity and 90% specificity. It is concluded that the CSIS is a useful, simple and brief tool to more effectively assess the cognitive performance of subjects with MCI