Predictive utility of type and duration of symptoms at initial presentation in patients with mild cognitive impairment. Article

Full Text via DOI: 10.1159/000320137 PMID: 20847554

Cited authors

  • Devier, Villemarette-Pittman, Brown, Pelton, Stern, Sano, Devanand

Abstract

  • BACKGROUND/AIMS\nMETHODS\nRESULTS\nCONCLUSIONS\nTo assess (1) the duration and symptoms present in participants with mild cognitive impairment (MCI) and (2) the impact of these variables on predicting conversion to Alzheimer's disease (AD).\nParticipants with MCI (n = 148) were assessed and followed systematically.\nDecline in memory was reported as the first symptom in 118 of the cases. Converters had more symptoms (e.g. language decline, depression), and the combination of decline in memory and in performance of high-order social/cognitive activities as well as disorientation more often than nonconverters (p = 0.036). In an age-stratified Cox model, predictors of conversion to AD were shorter time since onset of memory decline and lower baseline MMSE score.\nRecent onset of memory decline with older age, decreased MMSE score, change in performance and disorientation indicate a greater likelihood of short-term conversion to AD.

Publication date

  • 2010

PubMed Central ID

  • PMC2948660

International Standard Serial Number (ISSN)

  • 1420-8008

Start page

  • 238

End page

  • 44

Volume

  • 30

Issue

  • 3