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The clock drawing test as a screening

tool in mild cognitive impairment and


very mild dementia: a new brief
method of scoring and normative data
in the elderly
Neurological Sciences

June 2016, Volume 37, Issue 6, pp 867–873 | Cite as

Original Article
First Online: 10 February 2016

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1.2k Downloads
9 Citations

Abstract

many studies sustained that the clock drawing test (CDT) was not able to
accurately detect people with CDR = 0.5. Other researchers have promoted the
use of scoring approaches with multiple scales that rate quantitative and
qualitative features of the production. Nevertheless, these scoring systems are
complex and time-consuming. We propose a new brief CDT’ scoring system in
order to find a good measure for mild cognitive decline which is at the same time
easy to administer. we enrolled 719 subjects: n. 181 with mild Alzheimer’s disease
(AD); n. 200 with amnesic mild cognitive impairment (MCI) and n. 338 healthy
elderly subjects (C). our CDT-three-cluster scoring system demonstrated a good
sensitivity and an excellent specificity to discriminate MCI subjects from normal
elderly (76 and 84 %, respectively) and an excellent sensitivity and specificity to
discriminate patients affected by mild Alzheimer disease (CDR: 1) from normal
elderly (91 and 90 %, respectively). We found that CDT’ score = 1.30 discriminate
people with MCI, whereas a score = 4.38 discriminate AD patients. The three-
cluster-scoring-system demonstrated a good diagnostic accuracy, taking into
account those error-items more predictive of cognitive decline: omission of
numbers or hands, writing numbers or hands in a wrong position and writing
numbers or hands in a different code. Our CDT’ scoring system is very short and
easy method which can be used also by non-specialist.

Keywords
mild Alzheimer’s disease mild cognitive impairment clock drawing test
scoring system
Electronic supplementary material
The online version of this article (doi: 10.1007/s10072-016-2480-6
(https://doi.org/10.1007/s10072-016-2480-6)) contains supplementary
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Notes

Compliance with ethical standards

Conflict of interest

The authors report no conflict of interests.

Supplementary material
10072_2016_2480_MOESM1_ESM.docx (17 kb)
Supplementary material 1 (DOCX 16 kb)

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About this article


Cite this article as:
Ricci, M., Pigliautile, M., D’Ambrosio, V. et al. Neurol Sci (2016) 37: 867.
https://doi.org/10.1007/s10072-016-2480-6

Received 17 September 2015


Accepted 09 January 2016
First Online 10 February 2016
DOI https://doi.org/10.1007/s10072-016-2480-6
Publisher Name Springer Milan
Print ISSN 1590-1874
Online ISSN 1590-3478

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