Cross-sectional versus longitudinal cognitive assessments for the diagnosis of symptomatic Alzheimer's disease in adults with Down syndrome

被引:2
|
作者
Videla, Laura [1 ,2 ,3 ]
Benejam, Bessy
Carmona-Iragui, Maria [1 ,2 ,3 ]
Barroeta, Isabel [1 ,3 ]
Fernandez, Susana [2 ]
Arranz, Javier [1 ]
Elbachiri Azzahchi, Sumia [1 ]
Altuna, Miren [1 ,3 ,4 ]
Padilla, Concepcion [1 ]
Valldeneu, Silvia [1 ,3 ]
Pegueroles, Jordi [1 ,3 ]
Montal, Victor [1 ,3 ]
Rozalem Aranha, Mateus [1 ]
Vaque-Alcazar, Lidia [1 ,5 ,6 ]
Florencia Iulita, Maria [1 ]
Alcolea, Daniel [1 ,3 ]
Bejanin, Alexandre [1 ,3 ]
Videla, Sebastia [7 ]
Blesa, Rafael [1 ,3 ]
Lleo, Alberto [1 ,3 ]
Fortea, Juan [1 ,2 ,3 ]
机构
[1] Univ Autonoma Barcelona, Hosp St Pau, Inst Invest Biomed St Pau, Dept Neurol,St Pau Memory Unit, Barcelona, Spain
[2] Fundacio Catalana Sindrome, Barcelona Med Ctr, Barcelona, Spain
[3] Ctr Invest Biomed Red Enfermedades Neurodegenerat, Madrid, Spain
[4] CITA Alzheimer Fdn, Donostia San Sebsatian, Spain
[5] Univ Barcelona, Fac Med & Hlth Sci, Dept Med, Inst Neurosci, Barcelona, Spain
[6] Inst Invest Biomed August Pi & Sunyer, Barcelona, Spain
[7] Univ Barcelona, Bellvitge Univ Hosp, Clin Res Support Unit HUB IDIBELL, Clin Pharmacol Dept, Barcelona, Spain
基金
美国国家卫生研究院;
关键词
Alzheimer disease; CAMCOG-DS; cognition; cognitive decline; Down syndrome; mCRT; INTELLECTUAL DISABILITIES; DEMENTIA; CRITERIA; DECLINE;
D O I
10.1002/alz.13073
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Down syndrome (DS) is a genetic form of Alzheimer's disease (AD). However, clinical diagnosis is difficult, and experts emphasize the need for detecting intra-individual cognitive decline. Objective: To compare the performance of baseline and longitudinal neuropsychological assessments for the diagnosis of symptomatic AD in DS. Methods: Longitudinal cohort study of adults with DS. Individuals were classified as asymptomatic, prodromal AD, or AD dementia. We performed receiver operating characteristic curve analyses to compare baseline and longitudinal changes of CAMCOG-DS and mCRT. Results: We included 562 adults with DS. Baseline assessments showed good to excellent diagnostic performance for AD dementia (AUCs between 0.82 and 0.99) and prodromal AD, higher than the 1-year intra-individual cognitive decline (area under the ROC curve between 0.59 and 0.79 for AD dementia, lower for prodromal AD). Longer follow-ups increased the diagnostic performance of the intra-individual cognitive decline. Discussion: Baseline cognitive assessment outperforms the 1-year intra-individual cognitive decline in adults with DS.
引用
收藏
页码:3916 / 3925
页数:10
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