Table 3.
Sensitivity and specificity of memory complaints, global cognitive impairment with no dementia, and impairment on domain specific cognitive tests for predicting Alzheimer's disease and dementia* at three year follow up with three step screening
Step 1: Tests in the general population
|
Step 2: Testing only people with memory complaints
|
Step 3: Testing only people with both memory complaints and cognitive impairment
|
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---|---|---|---|---|---|---|---|---|
Sensitivity (95% CI)
|
Specificity (95% CI)
|
Sensitivity (95% CI)
|
Specificity (95% CI)
|
Sensitivity (95% CI)
|
Specificity (95% CI)
|
|||
Memory complaint | 0.51 (0.44 to 0.58) | 0.70 (0.67 to 0.73) | — | — | — | — | ||
Global cognitive impairment with no dementia | 0.31 (0.25 to 0.38) | 0.89 (0.87 to 0.91) | 0.33 (0.24 to 0.42) | 0.87 (0.83 to 0.91) | — | — | ||
Domain specific cognitive impairment: | ||||||||
Episodic/recall impairment | 0.21 (0.11 to 0.32) | 0.94 (0.91 to 0.97) | 0.25 (0.10 to 0.40) | 0.89 (0.82 to 0.96) | 0.50 (0.29 to 0.71) | 0.89 (0.75 to 1) | ||
Verbal fluency impairment | 0.30 (0.18 to 0.41) | 0.89 (0.86 to 0.93) | 0.40 (0.23 to 0.56) | 0.85 (0.76 to 0.93) | 0.48 (0.26 to 0.70) | 0.92 (0.79 to 1) | ||
Visuospatial impairment | 0.27 (0.16 to 0.38) | 0.90 (0.87 to 0.94) | 0.25 (0.10 to 0.39) | 0.84 (0.76 to 0.92) | 0.26 (0.07 to 0.45) | 0.46 (0.23 to 0.68) |
Progression to dementia versus remaining alive or dying without dementia.