Mild cognitive impairment: Clinical characterization and outcome

Ronald Carl Petersen, Glenn E. Smith, Stephen C. Waring, Robert J. Ivnik, Eric George Tangalos, Emre Kokmen

Research output: Contribution to journalArticle

6009 Citations (Scopus)

Abstract

Background: Subjects with a mild cognitive impairment (MCI) have a memory impairment beyond that expected for age and education yet are not demented. These subjects are becoming the focus of many prediction studies and early intervention trials. Objective: To characterize clinically subjects with MCI cross-sectionally and longitudinally. Design: A prospective, longitudinal inception cohort. Setting: General community clinic. Participants: A sample of 76 consecutively evaluated subjects with MCI were compared with 234 healthy control subjects and 106 patients with mild Alzheimer disease (AD), all from a community setting as part of the Mayo Clinic Alzheimer's Disease Center/Alzheimer's Disease Patient Registry, Rochester, Minn. Main Outcome Measures: The 3 groups of individuals were compared on demographic factors and measures of cognitive function including the Mini-Mental State Examination, Wechsler Adult Intelligence Scale-Revised, Wechsler Memory Scale-Revised, Dementia Rating Scale, Free and Cued Selective Reminding Test, and Auditory Verbal Learning Test. Clinical classifications of dementia and AD were determined according to the Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition and the National Institute of Neurological and Communicative Disorders and Stroke- Alzheimer's Disease and Related Disorders Association criteria, respectively. Results: The primary distinction between control subjects and subjects with MCI was in the area of memory, while other cognitive functions were comparable. However, when the subjects with MCI were compared with the patients with very mild AD, memory performance was similar, but patients with AD were more impaired in other cognitive domains as well. Longitudinal performance demonstrated that the subjects with MCI declined at a rate greater than that of the controls but less rapidly than the patients with mild AD. Conclusions: Patients who meet the criteria for MCI can be differentiated from healthy control subjects and those with very mild AD. They appear to constitute a clinical entity that can be characterized for treatment interventions.

Original languageEnglish (US)
Pages (from-to)303-308
Number of pages6
JournalArchives of Neurology
Volume56
Issue number3
StatePublished - Mar 1999

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Alzheimer Disease
Cognition
Dementia
Healthy Volunteers
National Institute of Neurological Disorders and Stroke
Communication Disorders
Cognitive Dysfunction
Mild Cognitive Impairment
Alzheimer's Disease
Wechsler Scales
Verbal Learning
Intelligence
Diagnostic and Statistical Manual of Mental Disorders
Registries
Demography
Outcome Assessment (Health Care)
Education

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Petersen, R. C., Smith, G. E., Waring, S. C., Ivnik, R. J., Tangalos, E. G., & Kokmen, E. (1999). Mild cognitive impairment: Clinical characterization and outcome. Archives of Neurology, 56(3), 303-308.

Mild cognitive impairment : Clinical characterization and outcome. / Petersen, Ronald Carl; Smith, Glenn E.; Waring, Stephen C.; Ivnik, Robert J.; Tangalos, Eric George; Kokmen, Emre.

In: Archives of Neurology, Vol. 56, No. 3, 03.1999, p. 303-308.

Research output: Contribution to journalArticle

Petersen, RC, Smith, GE, Waring, SC, Ivnik, RJ, Tangalos, EG & Kokmen, E 1999, 'Mild cognitive impairment: Clinical characterization and outcome', Archives of Neurology, vol. 56, no. 3, pp. 303-308.
Petersen, Ronald Carl ; Smith, Glenn E. ; Waring, Stephen C. ; Ivnik, Robert J. ; Tangalos, Eric George ; Kokmen, Emre. / Mild cognitive impairment : Clinical characterization and outcome. In: Archives of Neurology. 1999 ; Vol. 56, No. 3. pp. 303-308.
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