Ling et al reported a score which can help to identify an adult dialysis patient who is at risk for dementia. This can help to identify patients who may benefit from closer monitoring. The authors are from National Cheng Kung University (Taiwan), Chang Gung University, China Medical University and Harvard University.
Patient selection: dialysis patient from 40 to 80 years of age
Parameters:
(1) age in years
(2) diabetes mellitus
(3) stroke
(4) anemia
(5) hypertension
(6) hyperlipidemia
(7) depression
(8) insomnia
(9) traumatic brain injury
(10) Parkinson's disease
(11) hypothyroidism
Parameter
Finding
Points
age
(age) - 40
diabetes mellitus
absent
0
present
7
stroke
absent
0
present
12
anemia
absent
0
present
1
hypertension
absent
0
present
3
hyperlipidemia
absent
0
present
1
depression
absent
0
present
13
insomnia
absent
0
present
3
traumatic brain injury
absent
0
present
6
Parkinson's disease
absent
0
present
17
hypothyroidism
absent
0
present
4
where:
• Depression may be associated with pseudodementia.
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 107
• A score >= 50 is associated with a high risk for dementia.
Performance:
• The area under the ROC curve is 0.71.
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