J Korean Neurol Assoc.  2019 Aug;37(3):277-283. 10.17340/jkna.2019.3.5.

Clinical Utility of Seoul Neuropsychological Screening Battery-Core for Dementia Management Project in the Community

Affiliations
  • 1Department of Neurology, Chungnam National University College of Medicine, Daejeon, Korea. aelee@cnu.ac.kr
  • 2Daejeon Metropolitan Dementia Center, Daejeon, Korea.
  • 3Department of Neurology, Eulji University College of Medicine, Daejeon, Korea.
  • 4Department of Neurology, Konyang University College of Medicine, Daejeon, Korea.
  • 5Department of Neurology, Yuseong Hangajok Convalescent Hospital, Daejeon, Korea.
  • 6Local Dementia Centers in Daejeon, Daejeon, Korea.

Abstract

BACKGROUND
The increasing number of dementia patients is increasing the importance of identifying them and also those at a high risk of dementia. The early diagnosis and management of dementia can slow the progression of the disease and reduce the socioeconomic burden. For these purposes, the Local Dementia Centers established in all regions of Korea are working on the early detection of dementia using neuropsychological batteries. This study investigated the utility of the Seoul Neuropsychological Screening Battery-Core (SNSB-C) in a dementia management project performed in the local community.
METHODS
This study was conducted in two parts. The first part used data from the Local Dementia Centers to investigate the accuracy of detecting cognitive impairment in SNSB-C compared with the Seoul Neuropsychological Screening Battery-Second Edition (SNSB-II). The second part of this study which data from hospital examined the accuracy of diagnosing dementia using SNSB-C.
RESULTS
Data were collected from 508 participants at the Local Dementia Centers in Daejeon and 50 participants at a hospital. SNSB-C had a high sensitivity and specificity for detecting cognitive impairment, and also a high sensitivity, high specificity, and positive predictive value for diagnosing dementia.
CONCLUSIONS
The sensitivity in diagnosing dementia was as high for SNSB-C as for SNSB-II while taking less time. SNSB-C could therefore be a good diagnostic evaluation tool for use in local dementia centers.

Keyword

Dementia; Diagnosis; Neuropsychological tests

MeSH Terms

Cognition Disorders
Dementia*
Diagnosis
Early Diagnosis
Humans
Korea
Mass Screening*
Neuropsychological Tests
Sensitivity and Specificity
Seoul*
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