The diagnostic accuracy of the Thai dementia assessment tools for primary care

Authors

  • Orawan Silpakit Srithanya Hospital
  • Somsri Kittipongpisarn Srithanya Hospital
  • Rossukon Chomcheun Srithanya Hospital
  • Chakrit Sukying Department of Psychiatry, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Chulaluk Komoltri Faculty of Medicine Siriraj Hospital, Mahidol University

Keywords:

AUC, dementia, primary, screening

Abstract

          Objectives To validate the Thai dementia assessment tool for primary care in the clinical settings.
          Materials and methods First, multi-disciplinary teams were prepared. Then clinical evaluation and neuropsychological battery tests were conducted at Srithanya, Suanprung and Songkhla Rajanagarindra Hospital during September 2016-April 2017. The tools were the Thai dementia assessment (TDA), clock
drawing test and Rowland Universal Dementia Assessment Scale (RUDAS). Descriptive statistical analysis was used. The receiver operating analysis curve (ROC) was applied to compare the area under curves (AUC) and the cut-off scores of each test were calculated.
          Results There were 145 cases divided into 37 control, 35 mild cognitive impairment, 32 early or mild dementia, 41 moderate to severe dementia cases. The AUCs were ranged from 0.59-0.98. The selected items from the TDA and adjusted score for fruit fl uency had acceptable validity (sense = 89%,
spec = 81%).
          Conclusion The selected items from the TDA for community was validated in dementia patients at the psychiatric hospital and the accuracy was comparable to the standard test.

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Published

2017-09-30

How to Cite

1.
Silpakit O, Kittipongpisarn S, Chomcheun R, Sukying C, Komoltri C. The diagnostic accuracy of the Thai dementia assessment tools for primary care. J Ment Health Thai [internet]. 2017 Sep. 30 [cited 2026 Jan. 2];25(3):137-4. available from: https://he01.tci-thaijo.org/index.php/jmht/article/view/142747

Issue

Vol. 25 No. 3 (2017)

Section

Original article

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