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array:23 [ "pii" => "S0025775301720404" "issn" => "00257753" "doi" => "10.1016/S0025-7753(01)72040-4" "estado" => "S300" "fechaPublicacion" => "2001-01-01" "aid" => "72040" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2001" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2001;117:129-34" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2581 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 1921 "PDF" => 652 ] ] "itemSiguiente" => array:18 [ "pii" => "S0025775301720416" "issn" => "00257753" "doi" => "10.1016/S0025-7753(01)72041-6" "estado" => "S300" "fechaPublicacion" => "2001-01-01" "aid" => "72041" "copyright" => "Elsevier España, S.L." 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"documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2001;117:124-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4680 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 4345 "PDF" => 330 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "El tratamiento con análogos de la LHRH en la pubertad avanzada de la niña no modifica la talla final. Estudio longitudinal frente a un grupo control" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "124" "paginaFinal" => "128" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Treatment with LHRH analogues in girls with advanced puberty does not improve final height. Longitudinal study compared with a control group" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Dolors Llop-Viñolas, Bárbara Vizmanos-Lamotte, Ana Aresté-Piztzalis, Juan Fernández-Ballart, Carlos Martí-Henneberg" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Dolors" "apellidos" => "Llop-Viñolas" ] 1 => array:2 [ "nombre" => "Bárbara" "apellidos" => "Vizmanos-Lamotte" ] 2 => array:2 [ "nombre" => "Ana" "apellidos" => "Aresté-Piztzalis" ] 3 => array:2 [ "nombre" => "Juan" "apellidos" => "Fernández-Ballart" ] 4 => array:2 [ "nombre" => "Carlos" "apellidos" => "Martí-Henneberg" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775301720398?idApp=UINPBA00004N" "url" => "/00257753/0000011700000004/v1_201307291656/S0025775301720398/v1_201307291656/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Adaptación y validación al castellano del cuestionario de Pfeiffer (SPMSQ) para detectar la existencia de deterioro cognitivo en personas mayores e 65 años" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "129" "paginaFinal" => "134" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Jorge Martínez de la Iglesiaa, Rosa DueñasHerrerob, M. Carmen Onís Vilchesa, Cristina Aguado Tabernéa, Carmen Albert Colomerc, Rogelio Luque Luquec" "autores" => array:6 [ 0 => array:3 [ "nombre" => "Jorge" "apellidos" => "Martínez de la Iglesiaa" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Rosa" "apellidos" => "DueñasHerrerob" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Carmen Onís Vilchesa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Cristina" "apellidos" => "Aguado Tabernéa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Carmen" "apellidos" => "Albert Colomerc" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 5 => array:3 [ "nombre" => "Rogelio" "apellidos" => "Luque Luquec" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Médico de Familia. Centro de Salud Azahara. Distrito Córdoba-Centro. Tutor UD Medicina Familiar y Comunitaria de Córdoba." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Médico de Familia. Residente de Psiquiatría." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Psiquiatría. Hospital Universitario Reina Sofía. Córdoba." "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. J. Martínez de la Iglesia. Centro de Salud Azahara. Del Campo, 13. 14005 Córdoba." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cross-cultural adaptation and validation of Pfeiffer’s test (Short Portable Mental Status Questionnaire [SPMSQ]) to screen cognitive impairment in general population aged 65 or older" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2001-01-02" "fechaAceptado" => "2001-06-05" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec222588" "palabras" => array:5 [ 0 => "Anciano" 1 => "Alteración cognitiva" 2 => "SPMSQ" 3 => "Adaptación transcultural" 4 => "Validación" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec222587" "palabras" => array:5 [ 0 => "Elderly" 1 => "Cognitive impairment" 2 => "SPMSQ" 3 => "Cross-cultural adaptation" 4 => "Validation" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se realiza la adaptación transcultural y validación del Short Portable Mental Status Questionnaire (SPMSQ) de Pfeiffer para la detección de posible deterioro cognitivo en personas de más de 65 años.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Inicialmente se realizó la adaptación transcultural, obteniendo la versión española del cuestionario (SPMSQ-VE). En una segunda fase, el médico/enfermera de cada sujeto aplicó el cuestionario a personas mayores que acudían al centro de salud. De éstos, 30 fueron examinados por dos profesionales para medir la fiabilidad interobservador y cincuenta pacientes se citaron a la semana para medir la fiabilidad intraobservador. Posteriormente, otro investigador, de forma ciega, realizó a todos los sujetos una evaluación neuropsicológica estableciendo el diagnóstico de demencia según los criterios establecidos en la CIE-10. El resultado final de esta exploración fue considerado como el Patrón Oro de referencia para el cálculo de los parámetros de validez.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Completaron el estudio 255 sujetos, el 66,7% mujeres y el 65,5% sin ningún grado de escolarización y con una media de edad de 74,5 años. La fiabilidad inter e intraobservador del SPMSQ-VE fue de 0,738 y 0,925, respectivamente, alcanzando la consistencia interna un valor de 0,82. La validez convergente fue del 0,74 y la discriminación del 0,23. El área bajo la curva ROC fue de 0,89, siendo la sensibilidad y especificidad de 85,7 y 79,3, respectivamente, para un punto de corte de 3 o más errores, observándose variaciones según nivel de escolarización y edad.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los parámetros de la adaptación transcultural realizada han demostrado ser aceptables y similares a los del cuestionario en su versión original. El punto de corte que parece más recomendable para el SPMSQ-VE sería de 3 o más errores, en el caso de personas que al menos sepan leer y escribir, y de 4 o más para los analfabetos.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Our aims were to develop a Spanish version of the short portable mental status questionnaire (SPMSQ) (Pfeiffer’s test) and to validate the resultant Spanish version of the test among a general population aged 65 years or older.</p> <span class="elsevierStyleSectionTitle">Patients, Material And Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">First, we developed the Spanish version of the SPMSQ by means of a cross-cultural adaptation methodology. Patients were the assessed by independent teams in two sessions the same day. The first team (two trained psychiatrists and one trained family physician) carried out a standardised neuropsychological assessment to diagnose cognitive impairment/dementia according to ICD-10 criteria wich was regarded as the reference “gold standard” to calculate validity parameters (sensitivity and specificity). The second team (family physicians/nurses) assessed the presence of cognitive impairment with the Spanish version of the SPMSQ.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">255 subjects (66.7%, females) underwent the assessment. Mean age was 74.5 years and 65.5% of them were illiterate. The inter-rater reliability and test-retest reliability of the SPMSQ Spanish version were 0.738 (p < 0.001), and 0.925 (p < 0.001), respectively, with a convergent validity of 0.74 (p < 0.001) and a discriminant validity of 0.230 (p < 0.001). The internal consistency was high with an αvalue of 0.82. The area under the ROC curve was 0.89. Sensitivity and specificity were 85.7 and 79.3, respectively (cut-off of 3 or more).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The Spanish version of the SPMSQ test has a good reliability and validity. For clinical use, a cut-off of 3 appears to be most useful. When illiterate patients are assessed, the it is recommended to employ a cut-off of 4 or more.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliográficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:62 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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