Table 3.
Cox Proportional Hazards Regression Analysis Showing Significant Predictors of Time to Progression from MCI (n = 39) to AD dementia (n = 11) Retained in the Final Models
| Full Model χ2‡ | df | P | Predictors Retained | HR† | 95% CI | Predictor χ2* (df = 1) | p |
|---|---|---|---|---|---|---|---|
| 20.63 | 2 | <0.0001 | Digit Symbol | 1.07 | (1.01, 1.13) | 5.42 | 0.02 |
| AES-C | 1.19 | (1.09, 1.32) | 13.02 | 0.0003 |
Initial predictors of transition from MCI to AD dementia included baseline total scores for the subject-reported Apathy Evaluation Scale (AES-S), informant-reported Apathy Evaluation Scale (AES-I), and clinician-reported Apathy Evaluation Scale (AES-C). Initial covariates included: sex, baseline age, baseline American National Adult Reading Test verbal intelligence quotient, baseline Digit Symbol score, and baseline Ray Auditory Verbal Learning Test total learning score.
AD (Alzheimer’s disease); CI (confidence interval); df (degrees of freedom); HR (hazard ratio); MCI (mild cognitive impairment).
Likelihood Ratio chi-square (χ2) test is a test of the model as a whole, whereas chi-square tests based on the Wald Test are used for individual predictors.
The hazard ratio (HR) displayed for each retained predictor is the ratio of the probabilities of transitioning to AD dementia for a one unit increase in continuous predictor or a change in categories for a categorical predictor. Displayed HR’s are inverted from the original analysis results to best illustrate the effect of increasing apathy (as denoted by a decreasing AES score) on risk of progression from MCI to AD dementia.