title: Clinical Approach to Diagnosis of Pre-Dementia Alzheimer's Disease (CAD-PAD).
abstract: OBJECTIVE
  Our aim was to evaluate clinical and neuropsychological features to identify pre-dementia Alzheimer's disease (PAD) among mild cognitive impairment (MCI) patients.
  
  
  METHODS
  A longitudinal prospective study of 89 consecutive patients affected with MCI was conducted. Clinical evaluation consisted of a clinical interview protocol, neuropsychological evaluation, standard laboratory tests, and CT scan. A 6-month clinical check-up was made to determine whether patients remained in MCI, improved or progressed to AD or another dementia.
  
  
  RESULTS
  At 3-year follow-up, 47% patients developed AD dementia. Seventeen variables were significant and were evaluated by logistic regression analysis to identify the remaining optimal diagnostic criteria: age, gender, repeating comments, difficulties in understanding explanations, time of symptom evolution, history of depression, and word fluency (with animals) were identified with a sensitivity of 100% and a specificity of 93%. A computer application was developed with all these variables which we have named Clinical Approach to Diagnosis of PAD (CAD-PAD).
  
  
  CONCLUSIONS
  These results suggest that CAD-PAD can help in the clinical diagnosis of PAD.
authors.affiliation: Memory Clinic, Neurology Service, Hospital General Universitario Elche, Elche, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Alom
authors.forename: I
authors.initials: I
authors.lastname: Llinares
authors.forename: S
authors.initials: S
authors.lastname: Fajardo