Mini-Cog for the diagnosis of Alzheimer’s disease dementia and other dementias within a primary care setting

Seitz, Dallas; Chan, Calvin; Newton, Hailey T; Gill, Sudeep S.; Herrmann, Nathan; Smailagic, Nadja; Nikolaou, Vasilis; Fage, Bruce A

doi:10.1002/14651858.cd011415.pub2

Cited by 44 publications

(38 citation statements)

References 104 publications

(33 reference statements)

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“…Documented cognitive testing consisted largely of the Montreal Cognitive Assessment (MOCA) 7 and Mini Mental Status Exam (MMSE), 8 and, in limited cases, the Ottawa 3DY Scale 9 and Mini-Cognitive Assessment (Mini-Cog). 10 Cognitive impairment was defined as a MOCA less than 26, MMSE less than 25, Ottawa 3DY less than 4, and Mini-Cog less than 3. Table 2 summarizes the referral characteristics of the enrolled patients.…”

Section: Resultsmentioning

confidence: 99%

Adherence of older emergency department patients to community-based specialized geriatric services

MacDonald

Stiell

Genovezos

et al. 2019

CJEM

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ObjectivesOur objective was to determine emergency department (ED) patient adherence to outpatient specialized geriatric services (SGS) following ED evaluation by the geriatric emergency management (GEM) nurse, and identify barriers and facilitators to attendance.MethodsWe conducted a prospective cohort study at two academic EDs between July and December 2016, enrolling a convenience sample of patients ≥ 65 years, seen by a GEM nurse, referred to outpatient SGS, and consented to study participation. We completed a chart review and a structured telephone follow-up at 6 weeks. Descriptive statistics were used.ResultsWe enrolled 103/285 eligible patients (86 eligible but not enrolled, 86 declined specialized geriatric referrals, and 10 declined study participation). Patients were mean age of 83.1 years, 59.2% female, and 73.2% cognitively impaired. Reasons for referral included mobility (86.4%), cognition (56.3%), pain (38.8%), mood (35.0%), medications (33.0%), and nutrition (31.1%). Referrals were to Geriatric Day Hospital (GDH) programs (50.5%), geriatric outreach (26.2%), falls clinic (12.6%), and geriatric psychiatry (8.7%). Adherence with follow-up was 59.2%. Barriers to attendance included patient did not feel SGS were needed (52.1%), inability to recall GEM consultation (53.4%), and dependence on family for transportation (72.6%). Home-based assessments had the highest adherence (81.5%).ConclusionAdherence of older ED patients referred by the GEM team to SGS is suboptimal, and a large proportion of patients decline these referrals in the ED. Future work should examine the efficacy of home-based assessments in a larger confirmatory setting and focus on interventions to increase referral acceptance and address barriers to attendance.

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Section: Resultsmentioning

confidence: 99%

Adherence of older emergency department patients to community-based specialized geriatric services

MacDonald

Stiell

Genovezos

et al. 2019

CJEM

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“…In fact, there is strong evidence that the feeling of burden among IC of PwD is greater than in other types of care and that this frequently leads to them working fewer hours or losing their job, with a resulting decrease in their own quality of life (QoL) [ 4 , 5 , 6 ]. Some studies show that the emotional effects of burden can also have a negative impact on the PwD’s life, which can be even greater than the degree of severity of the disease itself [ 7 , 8 ]. QoL is a multidimensional concept, which varies between individuals and depends directly on the life stage of the person, and on positive and negative factors related to the changes that occur at each stage [ 6 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Informal Caregivers’ Roles in Dementia: The Impact on Their Quality of Life

Frías

Cabrera

Zabalegui

2020

Life

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The constantly changing process of caring for a person with dementia affects the informal caregivers’ role due to its psychosocial impact. This cross-sectional study aimed to analyze the impact of the Person with Dementia informal caregiver’s role caregiver to a person with dementia on the self-perceived quality of life (QoL) of the caregiver. In total, 160 informal caregivers were recruited between January and December 2019. Informal caregivers’ quality of life was assessed using the European Quality of Life 5-Dimension scale, burden with the Zarit Burden Scale, emotional wellbeing using the General Health Questionnaire, and caregiver reactions using Caregiver Reaction Aspects. Patients’ cognitive impairment was assessed with the Mini-Mental State Examination, their quality of life using Quality of Life in Alzheimer’s Disease, and neuropsychiatric symptoms using the Neuropsychiatric Inventory. Outcomes were studied using the Pearson correlation coefficient and ANOVA test. Most informal caregivers’ outcomes were significantly associated with their quality of life. Male informal caregivers have a slightly better quality of life than female caregivers (p < 0.001). Caregiver burden (p < 0.001), psychological wellbeing (p < 0.001) and negative aspects of caregiving on health (p < 0.001) correlated moderately with informal caregivers’ quality of life. Factors associated with dementia, including the course of the illness and its severity with the presence of neuropsychiatric symptoms can negatively affect the informal caregiver’s role and produce a low self-perception of quality of life; thus, social and professional support for informal caregivers is essential.

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“…The Montreal Cognitive Assessment [11] was used for a global screen. Additional performance measures included the Mini-Cog [26], and animal naming [27]. The AD8 was used as a self-report measure of cognitive ability [8,12,13].…”

Section: Evaluationsmentioning

confidence: 99%

What older adults do with the results of dementia screening programs

2020

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Introduction Alzheimer's disease and related dementias (ADRD) and mild cognitive impairment (MCI) are often under-recognized in the community. MCI/ADRD screening could offer benefits such as early treatment, research participation, lifestyle modification, and advanced care planning. To date, there are no clear guidelines regarding the benefits vs. harms of dementia screening or whether a dementia screening program could be successful. Methods A community-based study was conducted to evaluate an MCI/ADRD screening program and determine what older adults would do with the information. Measures of cognition, physical health, functionality, and mood were collected. Participants met with a health professional, were given screening results with recommendations, and then contacted 60 days later to determine what was done with the results. Logistic regression models were used to build predictive models. Results Participants (n = 288) had a mean age of 71.5±8.3y, mean education of 13.3±4.8y, and were 70% female, 67% White, 26% African American, and 48% Hispanic. After 60 days, 75% of participants were re-contacted; 54% shared results with family, 33% shared results with health care providers (HCPs), and 52% initiated behavioral change. Among participants sharing results with HCPs, 51% reported HCPs did not follow-up on the results, and 18% that HCPs did not show any interest in the screening visit or its results. Predictors of sharing results with HCPs were elevated hemoglobin A1C (OR = 1.85;95%CI:1.19-2.88), uncontrolled hypertension (OR = 2.73;95%CI:1.09-6.83), and mobility issues (OR = 2.43;95%CI: 1.93-5.54). Participant behavioral changes included lifestyle modification (58%), social engagement (10%), cognitive stimulation (5%), and advanced care planning (4%). The most significant predictors of sharing with family were better overall mental health (OR = 0.19; 95%CI: 0.06-0.59) and better physical function (OR = 0.38; 95%CI: 0.17-0.81).

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Mini-Cog for the diagnosis of Alzheimer’s disease dementia and other dementias within a primary care setting

Cited by 44 publications

References 104 publications

Adherence of older emergency department patients to community-based specialized geriatric services

Adherence of older emergency department patients to community-based specialized geriatric services

Informal Caregivers’ Roles in Dementia: The Impact on Their Quality of Life

What older adults do with the results of dementia screening programs

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