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Table 4 Demographic and clinical characteristics for patients receiving a diagnosis (n = 556) or no diagnosis (n = 136) after stepwise cognitive testing, MRI, and CSF

From: Computerized decision support to optimally funnel patients through the diagnostic pathway for dementia

 

Without diagnosis after stepwise approach n = 136

With diagnosis after stepwise approach n = 556

p-value

True diagnosis, n (%)

  

0.003

 CNa

22 (16)

166 (30)

 

 AD

58 (43)

244 (44)

 

 FTDa

29 (21)

78 (14)

 

 VaDa

9 (7)

26 (5)

 

 DLB

18 (13)

42 (8)

 

Demographics

 Age, years

66 ± 8

65 ± 9

0.044

 Sex, female

66 (48.5)

242 (43.5)

0.339

 Education, years

13 [10-16]

15 [12-17]

0.080

Neuropsychology

 MMSE [0–30]

25 [22-27]

25 [22-28]

0.078

 Memory, learning

26 ± 8

30 ± 12

0.002

 Memory, recall

4 ± 3

5 ± 4

0.015

 TMT-A (s)

73 ± 40

60 ± 36

 < 0.001

 TMT-B (s)

178 ± 91

145 ± 83

 < 0.001

 Animal fluency

14 ± 6

16 ± 8

0.029

Neuropsychiatric symptoms

 GDS [0–15]

4 ± 3

3 ± 2

0.001

 NPI, total score

15 ± 14

12 ± 12

0.011

Functional assessment

 DAD [0–100]

78.0 ± 22.8

84.3 ± 18.3

0.006

Automated MRI biomarkers

 cMTA, left

1.38 ± 1.12

1.24 ± 1.11

0.169

 cMTA, right

1.26 ± 1.01

1.17 ± 1.07

0.372

 cGCA

1.19 ± 0.77

1.09 ± 0.77

0.166

 cFazekas

1.14 ± 0.89

0.97 ± 0.85

0.032

 WMH, volume

10.47 ± 16.58

8.26 ± 15.22

0.137

 Anterior–posterior index

-0.33 ± 2.12

-0.09 ± 1.96

0.195

 AD similarity

0.53 ± 0.13

0.51 ± 0.15

0.048

Cerebrospinal fluid

 Aβ42, pg/ml

824 ± 269

821 ± 293

0.925

 Total tau, pg/ml

439 ± 277

5056 ± 378

0.057

 p-tau, pg/ml

59 ± 29

65 ± 36

0.065

  1. Data presented in mean ± SD, median [IQR], or n(%). aPost hoc pairwise comparisons indicate group differences after false discovery rate correction
  2. Abbreviations: CN cognitively normal, MCI mild cognitive impairment, AD Alzheimer’s disease, FTD frontotemporal dementia, VaD vascular dementia, DLB dementia with Lewy bodies, MMSE Mini-Mental state Examination, RAVLT Rey Auditory Verbal Learning Test, TMT Trail Making Test, GDS geriatric depression scale, NPI neuropsychiatric inventory, DAD disability assessment for dementia, cMTA computed medial temporal lobe atrophy, cGCA computed global cortical atrophy, API anterior posterior index, WMH white matter hyperintensities, Aβ42 β-amyloid 1–42, p-tau phosphorylated tau