{"title":"认知功能评分与修订版长谷川痴呆量表以及卧床不起等级与巴特尔指数和卡茨指数的标准相关有效性:一项多中心回顾性研究。","authors":"Risa Hirata, Naoko E Katsuki, Hitomi Shimada, Eiji Nakatani, Kiyoshi Shikino, Maiko Ono, Chihiro Saito, Kaori Amari, Kazuya Kurogi, Mariko Yoshimura, Tomoyo Nishi, Shizuka Yaita, Yoshimasa Oda, Midori Tokushima, Yuka Hirakawa, Masahiko Nakamura, Shun Yamashita, Yoshinori Tokushima, Hidetoshi Aihara, Motoshi Fujiwara, Masaki Tago","doi":"10.1159/000540430","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The cognitive function score (CFS) is a public scale for assessing the activities of daily living (ADL) in older adults with dementia in Japan. In contrast, the scores of the revised Hasegawa's dementia scale (HDS-R), an easy-to-use dementia screening tool developed in Japan, are significantly correlated with mini-mental state examination scores and are widely utilized in various countries. This novel study aimed to elucidate the previously unexplored criterion-related validity of the CFS and HDS-R and the Bedriddenness Rank (BR), Barthel index (BI), and Katz index (KI).</p><p><strong>Methods: </strong>This was a multicenter retrospective study and a secondary analysis of our previous study. The study included patients aged ≥20 years hospitalized in chronic care settings between April 1, 2018, and March 31, 2021. We collected data from medical charts on admission, including age, sex, the BR, CFS, BI, KI, and HDS-R scores. Correlations between the CFS and HDS-R score, as well as between the BR and BI or KI, were analyzed using Spearman's rank correlation coefficients.</p><p><strong>Results: </strong>A total of 749 participants were included in the analysis of criterion-related validity between the CFS and HDS-R. In the CFS cohort analysis, 202 patients (27.0%) were categorized as having a normal CFS, and the median HDS-R score was 18 (range: 6-26). The correlation coefficient between the CFS and HDS-R scores was -0.834 (<i>p</i> < 0.001). The correlation coefficient between BR and BI was -0.741 (<i>p</i> < 0.001), BR and KI was -0.740 (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>The CFS revealed significant criterion-related validity compared with the established cognitive assessment scale, the HDS-R. The BR also demonstrated significant criterion-related validity with the BI and KI.</p>","PeriodicalId":38017,"journal":{"name":"Dementia and Geriatric Cognitive Disorders Extra","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521434/pdf/","citationCount":"0","resultStr":"{\"title\":\"Criterion-Related Validity of the Cognitive Function Score with the Revised Hasegawa's Dementia Scale and the Bedriddenness Rank with the Barthel Index and the Katz Index: A Multi-Center Retrospective Study.\",\"authors\":\"Risa Hirata, Naoko E Katsuki, Hitomi Shimada, Eiji Nakatani, Kiyoshi Shikino, Maiko Ono, Chihiro Saito, Kaori Amari, Kazuya Kurogi, Mariko Yoshimura, Tomoyo Nishi, Shizuka Yaita, Yoshimasa Oda, Midori Tokushima, Yuka Hirakawa, Masahiko Nakamura, Shun Yamashita, Yoshinori Tokushima, Hidetoshi Aihara, Motoshi Fujiwara, Masaki Tago\",\"doi\":\"10.1159/000540430\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>The cognitive function score (CFS) is a public scale for assessing the activities of daily living (ADL) in older adults with dementia in Japan. In contrast, the scores of the revised Hasegawa's dementia scale (HDS-R), an easy-to-use dementia screening tool developed in Japan, are significantly correlated with mini-mental state examination scores and are widely utilized in various countries. This novel study aimed to elucidate the previously unexplored criterion-related validity of the CFS and HDS-R and the Bedriddenness Rank (BR), Barthel index (BI), and Katz index (KI).</p><p><strong>Methods: </strong>This was a multicenter retrospective study and a secondary analysis of our previous study. The study included patients aged ≥20 years hospitalized in chronic care settings between April 1, 2018, and March 31, 2021. We collected data from medical charts on admission, including age, sex, the BR, CFS, BI, KI, and HDS-R scores. Correlations between the CFS and HDS-R score, as well as between the BR and BI or KI, were analyzed using Spearman's rank correlation coefficients.</p><p><strong>Results: </strong>A total of 749 participants were included in the analysis of criterion-related validity between the CFS and HDS-R. In the CFS cohort analysis, 202 patients (27.0%) were categorized as having a normal CFS, and the median HDS-R score was 18 (range: 6-26). The correlation coefficient between the CFS and HDS-R scores was -0.834 (<i>p</i> < 0.001). The correlation coefficient between BR and BI was -0.741 (<i>p</i> < 0.001), BR and KI was -0.740 (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>The CFS revealed significant criterion-related validity compared with the established cognitive assessment scale, the HDS-R. The BR also demonstrated significant criterion-related validity with the BI and KI.</p>\",\"PeriodicalId\":38017,\"journal\":{\"name\":\"Dementia and Geriatric Cognitive Disorders Extra\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-07-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521434/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Dementia and Geriatric Cognitive Disorders Extra\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1159/000540430\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Dementia and Geriatric Cognitive Disorders Extra","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1159/000540430","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
简介认知功能评分(CFS)是日本用于评估老年痴呆症患者日常生活活动能力(ADL)的公共量表。相比之下,修订版长谷川痴呆量表(HDS-R)是日本开发的一种易于使用的痴呆筛查工具,其得分与迷你精神状态检查得分显著相关,并在各国广泛使用。这项新研究旨在阐明 CFS 和 HDS-R 与 Bedriddenness Rank (BR)、Barthel index (BI) 和 Katz index (KI) 标准相关的有效性:这是一项多中心回顾性研究,也是对我们之前研究的二次分析。研究对象包括2018年4月1日至2021年3月31日期间在慢性病护理机构住院的年龄≥20岁的患者。我们从入院时的病历中收集了数据,包括年龄、性别、BR、CFS、BI、KI 和 HDS-R 评分。我们使用斯皮尔曼等级相关系数分析了CFS和HDS-R评分之间以及BR和BI或KI之间的相关性:共有 749 名参与者参与了 CFS 和 HDS-R 标准相关有效性分析。在CFS队列分析中,有202名患者(27.0%)被归类为正常CFS,HDS-R评分的中位数为18分(范围:6-26)。CFS和HDS-R评分之间的相关系数为-0.834(p < 0.001)。BR与BI的相关系数为-0.741(P < 0.001),BR与KI的相关系数为-0.740(P < 0.001):与已有的认知评估量表(HDS-R)相比,CFS具有明显的标准相关有效性。与 BI 和 KI 相比,BR 也显示出明显的标准相关有效性。
Criterion-Related Validity of the Cognitive Function Score with the Revised Hasegawa's Dementia Scale and the Bedriddenness Rank with the Barthel Index and the Katz Index: A Multi-Center Retrospective Study.
Introduction: The cognitive function score (CFS) is a public scale for assessing the activities of daily living (ADL) in older adults with dementia in Japan. In contrast, the scores of the revised Hasegawa's dementia scale (HDS-R), an easy-to-use dementia screening tool developed in Japan, are significantly correlated with mini-mental state examination scores and are widely utilized in various countries. This novel study aimed to elucidate the previously unexplored criterion-related validity of the CFS and HDS-R and the Bedriddenness Rank (BR), Barthel index (BI), and Katz index (KI).
Methods: This was a multicenter retrospective study and a secondary analysis of our previous study. The study included patients aged ≥20 years hospitalized in chronic care settings between April 1, 2018, and March 31, 2021. We collected data from medical charts on admission, including age, sex, the BR, CFS, BI, KI, and HDS-R scores. Correlations between the CFS and HDS-R score, as well as between the BR and BI or KI, were analyzed using Spearman's rank correlation coefficients.
Results: A total of 749 participants were included in the analysis of criterion-related validity between the CFS and HDS-R. In the CFS cohort analysis, 202 patients (27.0%) were categorized as having a normal CFS, and the median HDS-R score was 18 (range: 6-26). The correlation coefficient between the CFS and HDS-R scores was -0.834 (p < 0.001). The correlation coefficient between BR and BI was -0.741 (p < 0.001), BR and KI was -0.740 (p < 0.001).
Conclusion: The CFS revealed significant criterion-related validity compared with the established cognitive assessment scale, the HDS-R. The BR also demonstrated significant criterion-related validity with the BI and KI.
期刊介绍:
This open access and online-only journal publishes original articles covering the entire spectrum of cognitive dysfunction such as Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field. Dementia and Geriatric Cognitive Disorders Extra provides additional contents based on reviewed and accepted submissions to the main journal Dementia and Geriatric Cognitive Disorders Extra .