J Korean Geriatr Psychiatry.  2018 Oct;22(2):41-46. 10.0000/jkgp.2018.22.2.41.

Early Detection Program Development of Amnestic Mild Cognitive Impairment in the Community : Preliminary Study

Affiliations
  • 1Department of Neuropsychiatry, College of Medicine, Chosun University, Gwangju, Korea. ilhan.choo@chosun.ac.kr
  • 2Department of Neuropsychiatry, Chosun University Hospital, Gwangju, Korea.

Abstract


OBJECTIVE
Mild cognitive impairment (MCI) has high conversion risk to dementia. However, it is not easy to detect amnestic MCI patient early in the community. This study aimed to evaluate the three-stage design for early detection of amnestic MCI in the community.
METHODS
Overall 4,385 persons participated who were already registered with Mini Mental Status Examination (MMSE) evaluation. It was conducted in Nam-Gu district, one of the 5 districts of Gwangju, Korea from Jan 1, 2017 to May 31, 2017. We first screened them applying inclusion criteria of over 5-year education and age, gender, education adjusted norm based MMSE Z score between −1.5 and 0. Second stage assessments were done by telephone interviews with asking subjective memory complaints and 5 words list recall tests. And 3rd stage evaluation of neuropsychological tests and clinical interview with visit were performed.
RESULTS
We screened 456 of the 4,385 persons and 2nd stage included 51 of the 211 participants telephone interview completed. Twenty-four individuals visited clinic center for 3rd stage evaluation. We finally diagnosed 17 MCI including 16 amnestic MCI and 1 non-amnestic MCI.
CONCLUSION
Our three-stage evaluation detected 16 amnestic MCI patients of the 4,385 community dwelling persons with primary screening of MMSE. Our study suggests that this three-stage performance could be effective for early detection of amnestic MCI in large sample community.

Keyword

Early detection; Program development; Amnestic mild cognitive impairment; Community
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