作者
Deborah E Barnes, Alexa S Beiser, Anne Lee, Kenneth M Langa, Alain Koyama, Sarah R Preis, John Neuhaus, Ryan J McCammon, Kristine Yaffe, Sudha Seshadri, Mary N Haan, David R Weir
发表日期
2014/11/1
期刊
Alzheimer's & Dementia
卷号
10
期号
6
页码范围
656-665. e1
出版商
No longer published by Elsevier
简介
Background
Detection of “any cognitive impairment” is mandated as part of the Medicare annual wellness visit, but screening all patients may result in excessive false positives.
Methods
We developed and validated a brief Dementia Screening Indicator using data from four large, ongoing cohort studies (the Cardiovascular Health Study [CHS]; the Framingham Heart Study [FHS]; the Health and Retirement Study [HRS]; the Sacramento Area Latino Study on Aging [SALSA]) to help clinicians identify a subgroup of high-risk patients to target for cognitive screening.
Results
The final Dementia Screening Indicator included age (1 point/year; ages, 65–79 years), less than 12 years of education (9 points), stroke (6 points), diabetes mellitus (3 points), body mass index less than 18.5 kg/m2 (8 points), requiring assistance with money or medications (10 points), and depressive symptoms (6 points). Accuracy was good across the …
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DE Barnes, AS Beiser, A Lee, KM Langa, A Koyama… - Alzheimer's & Dementia, 2014