UTILIDADE CLÍNICA DO PHOTOTEST VIA TELENEUROPSICOLOGIA EM IDOSOS RURAIS CHILENOS

Nicole Caldichoury, Marcio Soto-Añari, Loida Camargo, María Fernanda Porto, Jorge Herrera-Pino, Salomón Shelach, Claudia Rivera-Fernández, Miguel Ramos-Henderson, Pascual Angel Gargiulo, Norman López

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

Resumen

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.

Título traducido de la contribuciónClinical utility of Phototest via teleneuropsychology in Chilean rural older adults
Idioma originalPortugués
Páginas (desde-hasta)316-323
Número de páginas8
PublicaciónDementia e Neuropsychologia
Volumen16
N.º3
DOI
EstadoPublicada - 2022
Publicado de forma externa

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© 2022, Associacao Arquivos de Neuro-Psiquiatria. All rights reserved.

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