Literature DB >> 18212499

Predicting rapid clinical progression in amnestic mild cognitive impairment.

Samrah Ahmed1, Joanna Mitchell, Robert Arnold, Peter J Nestor, John R Hodges.   

Abstract

BACKGROUND/AIMS: We investigated whether an initial neuropsychological assessment could predict rapid progression over 12 months, from amnestic mild cognitive impairment (aMCI) to Alzheimer's disease (AD).
METHODS: A longitudinal study compared the neuropsychological profiles of 27 normal controls and 18 aMCI patients at baseline and 12 months.
RESULTS: At 12 months, 24 control subjects followed up remained cognitively normal. 7 aMCI patients (6 multiple-domain aMCI and 1 single-domain aMCI) progressed to AD, and 11 were non-progressors. Prognosis was best captured by a combination of associative learning, the paired associate learning task (PAL), and global cognition, the Addenbrooke's Cognitive Examination (ACE).
CONCLUSION: The PAL and ACE can sensitively detect meaningful differences in scores at baseline and may be used as prognostic indicators. Multiple-domain aMCI patients progressed rapidly to AD and may be more usefully labelled as early stage AD. Copyright (c) 2008 S. Karger AG, Basel.

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Year:  2008        PMID: 18212499     DOI: 10.1159/000113014

Source DB:  PubMed          Journal:  Dement Geriatr Cogn Disord        ISSN: 1420-8008            Impact factor:   2.959


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