Table 1.
Algorithmic classification of early cognitive impairment | AUC | 95% Confidence interval | Sensitivity | Specificity | Kappa | N* | TP | FP | FN | TN |
---|---|---|---|---|---|---|---|---|---|---|
| ||||||||||
Consensus diagnosis of MCI/dementia | ||||||||||
| ||||||||||
impairment in Card Rotation or CVLT immediate recall | 0.631 | 0.588–0.674 | 0.52 | 0.74 | 0.03 | 9466 | 67 | 2443 | 61 | 6895 |
impairment in 1+ memory or 3+ non-memory tests | 0.700 | 0.658–0.743 | 0.65 | 0.75 | 0.04 | 9524 | 85 | 2327 | 45 | 7067 |
| ||||||||||
Global cognitive scores | ||||||||||
| ||||||||||
MMSE score (≤26) | ||||||||||
impairment in Card Rotation or CVLT immediate recall | 0.640 | 0.622–0.657 | 0.51 | 0.77 | 0.17 | 7551 | 416 | 1563 | 398 | 5174 |
impairment in 1+ memory or 3+ non-memory tests | 0.670 | 0.652–0.688 | 0.56 | 0.78 | 0.21 | 7551 | 457 | 1492 | 357 | 5245 |
CDR-SB score (≥0.5) | ||||||||||
impairment in Card Rotation or CVLT immediate recall | 0.586 | 0.565–0.608 | 0.36 | 0.81 | 0.18 | 2073 | 264 | 254 | 466 | 1089 |
impairment in 1+ memory or 3+ non-memory tests | 0.610 | 0.588–0.631 | 0.40 | 0.82 | 0.23 | 2073 | 295 | 248 | 435 | 1095 |
BIMC score (≥4) | ||||||||||
impairment in Card Rotation or CVLT immediate recall | 0.623 | 0.606–0.639 | 0.48 | 0.76 | 0.16 | 8892 | 506 | 1860 | 543 | 5983 |
impairment in 1+ memory or 3+ non-memory tests | 0.659 | 0.644–0.675 | 0.54 | 0.78 | 0.21 | 8892 | 565 | 1727 | 484 | 6116 |
Note. MCI=mild cognitive impairment. CVLT=California Verbal Learning Test. MMSE=Mini-Mental State Examination. CDR-SB=Clinical Dementia Rating - Sum of Boxes. BIMC=Blessed Information Memory Concentration test. AUC=area under the curve. TP=true positive. FP=false positive. FN=false negative. TN=true negative.
Poor performance in global cognitive score was determined based on MMSE≤26, BIMC≥4, and CDR-SB≥0.5.
Number of visits among all eligible participants with available cognitive data.