The instruments used by the Italian centres for cognitive disorders and dementia to diagnose mild cognitive impairment (MCI)

• Published in: Aging clinical and experimental research 2019-01, Vol.31 (1), p.101-107
• Main Authors: Limongi, Federica, Noale, Marianna, Bianchetti, Angelo, Ferrara, Nicola, Padovani, Alessandro, Scarpini, Elio, Trabucchi, Marco, Maggi, Stefania
• Format: Article
• Language: English
• Subjects: Aging; Cognitive ability; Collaboration; Dementia; Geriatrics/Gerontology; Medicine; Medicine & Public Health; Memory; Original Article; Questionnaires; Studies
• ISSN: 1720-8319; 1594-0667; 1720-8319
• DOI: 10.1007/s40520-018-1032-8

Aims The purpose of this study was to examine the tools used in Italy to diagnose mild cognitive impairment (MCI). Methods In collaboration with the Luigi Amaducci Research Consortium, the Italian Network of Alzheimer Evaluation Units prepared a questionnaire to describe how MCI is diagnosed in the Italian Centres for cognitive disorders and dementia (CCDD). Results Most of the ninety-two CCDDs participating in the survey were located in hospitals (54.7%); large percentages were coordinated by neurologists (50.8%) and geriatricians (44.6%). Almost all (98.5%) used the Mini Mental State Examination to diagnose MCI; the Clock Drawing Test was also frequently used (83.9%). Other neuropsychological, imaging and biomarker tests were utilized less frequently and a wide diversity in the instruments used was noted. Conclusions According to the results, diagnoses of MCI are based on a multitude of instruments, with major differences in the clinical assessment of geriatricians and neurologists. Standardized testing protocols, validated instruments and cut-off points need to be identified and adopted by the CCDDs for assessing MCI.