Preliminary study of application of Johns-Hopkins Adapted Cognitive Exam(Chinese version)in the respi-ratory intensive care unit patients
10.3969/j.issn.1001-1242.2024.12.017
- VernacularTitle:中文版约翰霍普金斯改编认知检查量表在呼吸重症患者中的初步应用研究
- Author:
Jingwen FENG
1
;
Yan YU
1
;
Hao LU
1
Author Information
1. 常州市第一人民医院康复医学科,江苏省常州市,213000
- Publication Type:Journal Article
- Keywords:
Chinese version of John Hopkins adapted cognitive exam;
respiratory intensive care unit;
cogni-tive impairment;
mini-mental state examination;
validity
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(12):1853-1857
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effectiveness of the Chinese version of the Johns Hopkins Adapted Cognitive Ex-am(ACE)in patients with respiratory critical illness,and to provide objective evidence for its clinical applica-tion in China.Method:One hundred patients in RICU from October 2022 to October 2023 were selected as RICU group and 40 healthy participants during physical examination during the same period as control group,and their cog-nitive function was evaluated by MMSE and ACE,respectively.Result:①There were significant correlations between ACE score and MMSE score in RICU group(r=0.709,P＜0.001);The correlation coefficients of the same subitems were 0.444-0.804,and the correlation was low to high.The Chinese version ACE items were lowly to significantly correlated with the ACE total score,with correlation coefficients ranging from 0.438 to 0.769(P＜0.001).②Between RICU group and control group,there were significant differences in orientation,imitation ability,memory ability and total score in Chinese ACE(P＜0.05),and significant differences in orientation,attention and calculation ability,recall ability,lan-guage ability and total score in MMSE(P＜0.05).③The Chinese version has the highest Yoden index(0.49)when the ACE score is 90.5,and the highest Yoden index(0.525)when the MMSE score is 26.5.The area under the receiver operation curve(ACE)was(0.813±0.035)and the MMSE was(0.841±0.032),and there was no significant difference between them(Z=1.00,P=0.317).Conclusion:The Chinese version of ACE can be used as a screening tool for cognitive impairment in RICU patients,and is more suitable for use in patients with tracheal intubation,tracheotomy and mechanical ventila-tion than MMSE.
