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Advanced Neurology                                 BRRS: A screening and monitoring tool for better prognosis in AD




            Table 1. Brief Risk Rating Scale.
            Name:             Sex:       Age:       Education:        Date:
             Original score (O)                                                                    Patient’s score
                                                                                                   O 0  O 1  O 2
            Basic information  Group score:
                             Age: >65 years (add 100 points).
                             Gender: Postmenopausal female (add 100 points).
                             Educational level: <12 years (add 100 points).
                             Pathology: (1) Detected tau protein in CSF or blood (add 100 points).
                             Pathology: (2) Detected Aβ in CSF or blood (add 100 points).
                             AD risk gene: Each gene (add 100 points).
            Lifestyle       Group score:
                             Weight: (1) Adult aged <65 years with BMI not maintained between 18.5 and 24.9 kg/m  (add 100 points).
                                                                                     2
                             Weight: (2) Adult aged ≥65 years with a trend of weight loss or too skinny (add 100 points).
                             History of smoking or living in a smoking environment (add 100 points).
                             Long-term history of insufficient intake of vitamin C (add 100 points).
                             Long-term history of insufficient or poor-quality sleep (add 100 points).
                             Long-term history of frailty (add 100 points).
                             Long-term history of stress (add 100 points).
            Comorbidities   Group score:
                             Diabetes history (add 100 points).
                             Head trauma history (add 100 points).
                             Cerebrovascular disease history (add 100 points).
                             Cardiovascular disease history (i.e., atrial fibrillation, hypertension, orthostatic hypotension, etc.):
                             Each (add 100 points).
                             Depression history (add 100 points).
                             Hyperhomocysteinemia history (add 100 points).
             Variation score (V)                                                                   Patient’s score
                                                                                                   V 0  V 1  V 2
            Limbic region   Group score:
                             Functional damage (add 100 points).
                             Structural damage: White matter (add 100 points).
                             Structural damage: Gray matter (add 100 points).
                             Compensation appears in function (add 100 points).
                             Compensation appears in structure (add 100 points).
                             Decompensation or the previously observed compensation disappears: Each disappearance (add 100 points).
                             WMH (add 100 points).
            Frontal region  Group score:
                             Functional damage (add 100 points).
                             Structural damage: White matter (add 100 points).
                             Structural damage: Gray matter (add 100 points).
                             Compensation appears in function (add 100 points).
                             Compensation appears in structure (add 100 points).
                             Decompensation or the previously observed compensation disappears: Each disappearance (add 100 points).
                             WMH (add 100 points).
                                                                                                       (Cont’d...)

            Volume 1 Issue 3 (2022)                         4                       https://doi.org/10.36922/an.v1i3.208
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