PDF(Pubmed)
Abstract：
UNASSIGNED: Mild cognitive impairment (MCI) is a condition often preceding Alzheimer\'s disease and other dementias, characterized by subtle changes in cognitive function. While the importance of early detection is recognised, MCI is frequently underdiagnosed, especially when patients consult primary care physicians for non-cognitive health concerns. The case series aims to investigate the incidental identification of MCI in older patients who visit primary care settings for reasons unrelated to memory issues.
UNASSIGNED: This is a retrospective case series comprising eight patients, ranging in age from 67 to 77 years, who initially presented in primary care settings for diverse non-memory-related concerns such as headaches, urinary tract infection (UTI) symptoms, and knee pain. Despite the lack of memory-related complaints, incidental findings suggestive of MCI were observed during clinical evaluations. The study explores the distinctions in clinical presentations and diagnostic pathways through thorough history taking and cognitive assessments, including the Montreal Cognitive Assessment (MoCA) and brain magnetic resonance imaging (MRI).
UNASSIGNED: The study highlights the critical role that primary care settings can play in the early detection of MCI, even when patients present with non-cognitive complaints. It emphasizes the importance of comprehensive history taking as a tool for incidental identification of cognitive impairment. Although limited by sample size, the study calls for increased vigilance in primary care settings and suggests the need for future research aimed at optimizing early detection and management strategies for MCI in a primary care context.
UNASSIGNED: This is a retrospective case series comprising eight patients, ranging in age from 67 to 77 years, who initially presented in primary care settings for diverse non-memory-related concerns such as headaches, urinary tract infection (UTI) symptoms, and knee pain. Despite the lack of memory-related complaints, incidental findings suggestive of MCI were observed during clinical evaluations. The study explores the distinctions in clinical presentations and diagnostic pathways through thorough history taking and cognitive assessments, including the Montreal Cognitive Assessment (MoCA) and brain magnetic resonance imaging (MRI).
UNASSIGNED: The study highlights the critical role that primary care settings can play in the early detection of MCI, even when patients present with non-cognitive complaints. It emphasizes the importance of comprehensive history taking as a tool for incidental identification of cognitive impairment. Although limited by sample size, the study calls for increased vigilance in primary care settings and suggests the need for future research aimed at optimizing early detection and management strategies for MCI in a primary care context.
摘要：
■轻度认知障碍（MCI）是一种通常先于阿尔茨海默病和其他痴呆症的疾病，以认知功能的细微变化为特征。虽然人们认识到早期检测的重要性，MCI经常被低估,特别是当患者咨询初级保健医生的非认知健康问题。该病例系列旨在调查由于与记忆问题无关的原因而访问初级保健机构的老年患者中MCI的偶然识别。
■这是一个由8名患者组成的回顾性病例系列，年龄从67岁到77岁，最初在初级保健机构中出现各种非记忆相关的问题，如头痛，尿路感染（UTI）症状，膝盖疼痛。尽管缺乏与记忆有关的抱怨，在临床评估期间观察到提示MCI的偶然发现.该研究通过全面的病史记录和认知评估，探讨了临床表现和诊断途径的区别。包括蒙特利尔认知评估（MoCA）和脑磁共振成像（MRI）。
■该研究强调了初级保健机构在早期发现MCI中可以发挥的关键作用，即使患者存在非认知症状。它强调了综合历史作为偶然识别认知障碍的工具的重要性。尽管受样本量的限制，该研究呼吁提高初级保健机构的警惕性,并提出未来研究的必要性,旨在优化初级保健背景下MCI的早期发现和管理策略.
■这是一个由8名患者组成的回顾性病例系列，年龄从67岁到77岁，最初在初级保健机构中出现各种非记忆相关的问题，如头痛，尿路感染（UTI）症状，膝盖疼痛。尽管缺乏与记忆有关的抱怨，在临床评估期间观察到提示MCI的偶然发现.该研究通过全面的病史记录和认知评估，探讨了临床表现和诊断途径的区别。包括蒙特利尔认知评估（MoCA）和脑磁共振成像（MRI）。
■该研究强调了初级保健机构在早期发现MCI中可以发挥的关键作用，即使患者存在非认知症状。它强调了综合历史作为偶然识别认知障碍的工具的重要性。尽管受样本量的限制，该研究呼吁提高初级保健机构的警惕性,并提出未来研究的必要性,旨在优化初级保健背景下MCI的早期发现和管理策略.
