术前筛查轻度观念障碍的快速观念评估工具

ed for data curation and quality assessment. Title and abstract screening were conducted independently via Rayyan. Data was curated through a random-effects model and statistical analysis used R-software.

Setting: Community, memory clinic, emergency, long-term care, and in-patient settings. There were no studies in the preoperative setting.

Patients: Twenty-three studies with 9973 patients (≥ 60 years old) undergoing rapid MCI screening.

Intervention: Rapid (≤ 5 min) MCI screening tools.

Measurements: Pooled predictive parameters (sensitivity, specificity) of screening tests.

Main results: Eighteen screening tools, compared to neuropsychological tests, were identified. The overall prevalence of MCI among the Rapid Cognitive Screen (RCS), Six-item Screener (SIS), Mini-Cog, and Clock Drawing Test (CDT) studies were 24.6%, 28.3%, 40.9%, and 20.7%, respectively. RCS has 82% sensitivity and 79% specificity in detecting MCI. SIS has 61% sensitivity and 89% specificity. Mini-Cog has 52% sensitivity and 80% specificity. CDT has 56% sensitivity and 59% specificity. Seven other index tools had high sensitivities of 97%–82% and specificities of 90%–73% but were studied only once.

Conclusion: No rapid screening tools had been validated in the surgical population. In other populations, RCS may be a promising screening tool for MCI with stronger sensitivity and specificity than Mini-Cog, SIS, and CDT. CDT alone is ineffective for MCI detection. Further validation in the preoperative setting is required to determine the efficacy of these screening tools.

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