logo BDSP

Base documentaire


  1. Documentation and evaluation of cognitive impairment in elderly primary care patients.

    Article - En anglais

    Objective 

    To describe the prevalence of cognitive impairment among elderly primary care patients and to compare diagnostic evaluations and use of health services among patients with and those without cognitive impairment.

    Design 

    Prospective cohort study.

    Setting 

    Academic primary care group practice.

    Patients 

    3954 patients aged 60 years and older who completed the Short Portable Mental Status Questionnaire during routine office visits.

    Results 

    The prevalence of cognitive impairment among all patients aged 60 years and older at baseline was 15.7% ; 10.5% had mild impairment and 5.2% had moderate to severe impairment.

    Patients with moderate to severe impairment were significantly older than patients with no impairment (76.2 years and 67.4 years, respectively), were more likely to be black (85.8% and 61.3%), had fewer years of education (7.3 years and 9.2 years), and were more likely to have cerebrovascular disease (20.4% and 6.3%) and evidence of undernutrition.

    Dementia was recorded as a diagnosis for less than 25% of patients with moderate to severe cognitive impairment, but patients with documented impairment were more likely to have been evaluated for reversible causes.

    Conclusions 

    Research is needed to determine if better documentation of cognitive impairment would improve not only diagnostic evaluations but also patient management, counseling, and outcomes.

    Mots-clés Pascal : Trouble cognition, Soin santé primaire, Utilisation, Prévalence, Epidémiologie, Diagnostic, Vieillard, Homme, Service santé

    Mots-clés Pascal anglais : Cognitive disorder, Primary health care, Use, Prevalence, Epidemiology, Diagnosis, Elderly, Human, Health service

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0339097

    Code Inist : 002B17A02. Création : 01/03/1996.