Screening for cognitive impairment in an Australian aged care assessment team as part of comprehensive geriatric assessment. Issue 3 (4th May 2019)

• Record Type: Journal Article
• Authors: Clarnette, Roger; Goh, Ming; Bharadwaj, Sneha; Ryan, Jillian; Ellis, Suzanne; Svendrovski, Anton; Molloy, D. William; O'Caoimh, Rónán
• Is Part Of: Aging, neuropsychology, and cognition. Volume 26:Issue 3(2019)
• Page Start: 336
• Page End: 347
• Publication Date: 2019-05-04
• Subjects: Cognitive function -- dementia -- mild cognitive impairment -- aging -- neuropsychology -- comprehensive geriatric assessment; Aging -- Periodicals; Cognition in old age -- Periodicals; Cognition disorders in old age -- Periodicals; Neuropsychology -- Periodicals; Aging -- periodicals; Neuropsychology -- periodicals; Cognition -- periodicals; Mental Disorders -- periodicals; Gerontology -- periodicals; Mental Health -- periodicals; 155.67
• DOI: 10.1080/13825585.2018.1439447
• Languages: English
• ISSNs: 1382-5585

Abstract

ABSTRACT: Accurate detection of mild cognitive impairment (MCI) is important to stratify and address risk. Yet, few short cognitive screening instruments are validated for this. . In Australia, all clients referred to an Aged Care Assessment Team (ACAT) receive comprehensive geriatric assessment (CGA) including the Standardized Mini-Mental State Examination (SMMSE). We compared the accuracy of the quick mild cognitive impairment (Q mci ) screen to the SMMSE in 283 participants: 195 with dementia, 47 with MCI, and 41 with subjective cognitive decline (SCD) in an Australian community-based ACAT. Both had similar accuracy in identifying dementia, AUC of 0.86 for the Q mci versus 0.93 for the SMMSE ( p = 0.10), but the Q mci was more accurate than the SMMSE in differentiating MCI from SCD, AUC of 0.84 versus 0.71, respectively, p = 0.046. These suggest that the new, short (3–5 min) Q mci screenis appropriate for use in an ACAT or other units conducting CGA.