Cut-off Values of Blessed Dementia Rating Scale and Its Clinical Application in Elderly Taiwanese
Although the Blessed Dementia Rating Scale (BDRS), a clinical screening instrument, has been applied extensively, no suitable cut-off values and clinical application have been proposed, particularly in mild cognitive impairment (MCI), the precursor of dementia. The BDRS, Mini Mental State Examinatio...
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| Format: | Article |
| Language: | English |
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Wiley
2006-08-01
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| Series: | Kaohsiung Journal of Medical Sciences |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X09703262 |
| _version_ | 1818993116644900864 |
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| author | Yuan-Han Yang Chiou-Lian Lai Ruey-Tay Lin Chih-Ta Tai Ching-Kuan Liu |
| author_facet | Yuan-Han Yang Chiou-Lian Lai Ruey-Tay Lin Chih-Ta Tai Ching-Kuan Liu |
| author_sort | Yuan-Han Yang |
| collection | DOAJ |
| description | Although the Blessed Dementia Rating Scale (BDRS), a clinical screening instrument, has been applied extensively, no suitable cut-off values and clinical application have been proposed, particularly in mild cognitive impairment (MCI), the precursor of dementia. The BDRS, Mini Mental State Examination (MMSE), and Clinical Dementia Rating Scale (CDR) were administrated in people aged 65 years and above, who were enrolled from southern Taiwan with multistep stratified random sampling and followed-up for 2 years. All subjects (total number = 3,027), with new onset of MCI (defined as CDR = 0.5) in the first year and dementia (defined as CDR ≥ 1) in the second and third years were subjected to statistical analysis. In distinguishing normal from MCI, except in the literate group aged 65-74 years, MMSE was superior to BDRS, with cut-off values of 1 in both literate groups aged 65-74 years and ≥ 75 years, and 1.5 and 2 in less educated groups aged 65-74 and ≥ 75 years, respectively. In distinguishing MCI from dementia, BDRS had cut-off values of 2.5 in both literate groups aged 65-74 and ≥ 75 years, and 2.5 and 3 in less educated groups aged 65-74 and ≥ 75 years, respectively. These values were better than those for MMSE in all groups. BDRS might be considered as a better tool than MMSE to screen for MCI and dementia in the increasing proportion of literate elderly aged 65-74 years in the aging population. |
| first_indexed | 2024-12-20T20:36:57Z |
| format | Article |
| id | doaj.art-40df0e497cb449d392985016adfcf8e0 |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-20T20:36:57Z |
| publishDate | 2006-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-40df0e497cb449d392985016adfcf8e02022-12-21T19:27:12ZengWileyKaohsiung Journal of Medical Sciences1607-551X2006-08-0122837738410.1016/S1607-551X(09)70326-2Cut-off Values of Blessed Dementia Rating Scale and Its Clinical Application in Elderly TaiwaneseYuan-Han YangChiou-Lian LaiRuey-Tay LinChih-Ta TaiChing-Kuan LiuAlthough the Blessed Dementia Rating Scale (BDRS), a clinical screening instrument, has been applied extensively, no suitable cut-off values and clinical application have been proposed, particularly in mild cognitive impairment (MCI), the precursor of dementia. The BDRS, Mini Mental State Examination (MMSE), and Clinical Dementia Rating Scale (CDR) were administrated in people aged 65 years and above, who were enrolled from southern Taiwan with multistep stratified random sampling and followed-up for 2 years. All subjects (total number = 3,027), with new onset of MCI (defined as CDR = 0.5) in the first year and dementia (defined as CDR ≥ 1) in the second and third years were subjected to statistical analysis. In distinguishing normal from MCI, except in the literate group aged 65-74 years, MMSE was superior to BDRS, with cut-off values of 1 in both literate groups aged 65-74 years and ≥ 75 years, and 1.5 and 2 in less educated groups aged 65-74 and ≥ 75 years, respectively. In distinguishing MCI from dementia, BDRS had cut-off values of 2.5 in both literate groups aged 65-74 and ≥ 75 years, and 2.5 and 3 in less educated groups aged 65-74 and ≥ 75 years, respectively. These values were better than those for MMSE in all groups. BDRS might be considered as a better tool than MMSE to screen for MCI and dementia in the increasing proportion of literate elderly aged 65-74 years in the aging population.http://www.sciencedirect.com/science/article/pii/S1607551X09703262Blessed Dementia Rating ScaleClinical Dementia Rating Scaledementiamild cognitive impairmentMini Mental State Examination |
| spellingShingle | Yuan-Han Yang Chiou-Lian Lai Ruey-Tay Lin Chih-Ta Tai Ching-Kuan Liu Cut-off Values of Blessed Dementia Rating Scale and Its Clinical Application in Elderly Taiwanese Kaohsiung Journal of Medical Sciences Blessed Dementia Rating Scale Clinical Dementia Rating Scale dementia mild cognitive impairment Mini Mental State Examination |
| title | Cut-off Values of Blessed Dementia Rating Scale and Its Clinical Application in Elderly Taiwanese |
| title_full | Cut-off Values of Blessed Dementia Rating Scale and Its Clinical Application in Elderly Taiwanese |
| title_fullStr | Cut-off Values of Blessed Dementia Rating Scale and Its Clinical Application in Elderly Taiwanese |
| title_full_unstemmed | Cut-off Values of Blessed Dementia Rating Scale and Its Clinical Application in Elderly Taiwanese |
| title_short | Cut-off Values of Blessed Dementia Rating Scale and Its Clinical Application in Elderly Taiwanese |
| title_sort | cut off values of blessed dementia rating scale and its clinical application in elderly taiwanese |
| topic | Blessed Dementia Rating Scale Clinical Dementia Rating Scale dementia mild cognitive impairment Mini Mental State Examination |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X09703262 |
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