@article {Day2296作者={格雷戈里,埃里森长和约翰·莫里斯},title ={评估的可靠性报告病史老年人(2296)},体积={94}={15}补充数量,elocation-id ={2296} ={2020},出版商= {Wolters Kluwer健康,公司代表美国神经病学学会},文摘={目的:确定病史在社区老年人的准确性。首页背景:一个可靠的历史是至关重要的,建立准确的临床诊断,优先调查和选择合适的治疗方法;然而,很少有研究严格评估的可靠性病史或影响可靠性的因素。设计/方法:participant-specific因素之间的关联和准确的报告中风和糖尿病是评估使用多变量逻辑回归对1401名参与者进行了纵向研究骑士阿尔茨海默病研究中心(圣路易斯,密苏里州),其中包括425名参与者痴呆(30.3 \ %)。历史验证了一个可靠的间接源在所有参与者。中风和糖尿病被选为索引变量作为黄金标准措施{\ textemdash}大脑MRI中风和hemoglobinA1c(糖化血红蛋白)对糖尿病{\ textemdash}定期获得的参与者。结果:25/862(2.9 \ %)参与者认可的历史中风,这是在8/25在MRI确诊(阳性预测值,17.4 \ %)。中风是发现MRI在38/837(4.5 \ %)的那些没有报道中风(负面预测值,95.5 \ %)。年龄(或每十年= 1.7,95 \ % CI: 1.2 {\ textendash} 2.5)和使用一个不相关的间接来源(或= 2.0,95 \ % CI: 1.03 {\ textendash} 3.7)与更大的可能性是不准确的报告。190/1322(14.4 \ %)参与者报告糖尿病史,在105/190确认与糖化血红蛋白(阳性预测值,55.3 \ %)。糖化血红蛋白> = 6.5 \ %检测在29/1132(2.6 \ %)的那些否认糖尿病(负面预测值,97.4 \ %)。非裔美国人(或= 1.6,95 \ % CI: 1.02 {\ textendash} 2.6)和高血压(或= 2.6,95 \ % CI: 1.5 4.2 {\ textendash})或糖化血红蛋白与葡萄糖耐量(或= 4.2,95 \ % CI: 2.7 {\ textendash} 6.4)报告的历史糖尿病的几率较高。 Cognitive impairment was not associated with inaccurate reporting.Conclusions: The accuracy of reported history of diabetes and stroke was low in older community-dwelling participants, independent of cognitive status. A history of diabetes or stroke should be objectively confirmed when relevant to decision making in clinical or research settings.Disclosure: Dr. Day has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with DynaMed\%20(EBSCO\%20Health), Parabon Nanolabs. Dr. Day holds stock and/or stock options in ANI Pharmaceuticals (a generic pharmaceutical company).Dr. Long has nothing to disclose. Dr. Morris has nothing to disclose.}, issn = {0028-3878}, URL = {//www.ez-admanager.com/content/94/15_Supplement/2296}, eprint = {//www.ez-admanager.com/content}, journal = {Neurology} }