Abstract:MMSE scores may in fact be used for dementia survival prognoses in counseling family and professional caregivers of dementia patients, but also for socioeconomic management of the increasing dementia burden for society.
“…With regard to costs of medical care (Quentin et al, 2010;Hotte et al, 2010) and the expected ongoing shift from family to inpatient and outpatient care, a diagnosis of dementia has an enormous impact on society and its healthcare systems. Furthermore, the diagnosis of dementia is a burden not only for the patients themselves but also for their caregivers.…”
None of the present CDT scoring systems has sufficient utility to screen reliably for MCI. The clinical value of the CDT could be improved by using semi-quantitative scoring, having a wider score range and focusing on specific details of the clock (e.g. the hands and numbers).
“…With regard to costs of medical care (Quentin et al, 2010;Hotte et al, 2010) and the expected ongoing shift from family to inpatient and outpatient care, a diagnosis of dementia has an enormous impact on society and its healthcare systems. Furthermore, the diagnosis of dementia is a burden not only for the patients themselves but also for their caregivers.…”
None of the present CDT scoring systems has sufficient utility to screen reliably for MCI. The clinical value of the CDT could be improved by using semi-quantitative scoring, having a wider score range and focusing on specific details of the clock (e.g. the hands and numbers).
“…Die Abschätzung der Überlebenszeiten von Demenzkranken hat unseres Erachtens u. a. die praktische Bedeutung, Angehörige bezüglich der Prognose fundierter beraten zu können, damit diese besser ihre eigenen Grenzen erkennen und sich entsprechend für eine häusliche oder institutionelle pflegerische Versorgung entscheiden können [12]. Dies hätte im Sinne einer psychiatrischen Primärpräventi-on eine Verbesserung des Gesundheitszustandes der pflegenden Angehörigen zur Folge, da diese eine Hochrisikopopulation für psychiatrische Morbidität darstellen.…”
At diagnosis, in addition to the anticipated impact of age and gender, the presence of psychotic symptoms and poor performance on paired-associate learning are also indicators of poor prognosis.
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