Document Detail


Predictors of cognitive impairment severity in rural patients at a memory clinic.
MedLine Citation:
PMID:  23041397     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective: Patients with dementia benefit from early assessment and diagnosis. In an attempt to identify factors leading to delay in referral, we investigated socio-demographic, clinical, and functional predictors of greater severity of cognitive impairment in dementia patients presenting to a memory clinic in Saskatoon, Saskatchewan. Methods: Data collection began in 2004 at the Rural and Remote Memory Clinic in Saskatoon, where non-institutionalized patients were referred by their family physicians. The patient and caregiver questionnaires and assessments administered at the clinic day appointment provided the socio-demographic, clinical, and functional patient variables, as well as the caregiver stress and burden variables. The dependent variable was patient cognitive impairment, as measured by Modified Mini-Mental State Examination (3MS) scores. Variables underwent univariate linear regression with 3MS scores in order to determine possible associations. A multiple regression analysis was conducted to determine predictors of cognitive impairment severity at clinic presentation. Results: Our sample included 198 patients (62% female). The mean age was 73.9 years (SD=9.2). We found that an age and gender interaction, years of formal education, Functional Activities Questionnaire score, and Brief Symptom Inventory score were significantly associated with 3MS scores (p<0.05). Conclusions: Increased cognitive impairment at presentation was predicted by fewer years of formal education, poorer functional ability, and less caregiver psychological distress. There was a significant interaction between age and gender: younger females were more cognitively impaired than younger males at clinic day, while in older patients, males were more cognitively impaired than females.
Authors:
Catherine Lacny; Andrew Kirk; Debra G Morgan; Chandima Karunanayake
Related Documents :
9644277 - Considering handedness in studies involving manual control.
24495787 - Considering the senses in the diagnosis and management of dementia.
23687917 - Is making a risky choice based on a weighting and adding process? an eye-tracking inves...
24908517 - N-3 lcpufa improves cognition: the young, the old and the sick.
22126837 - Genome-wide study identifies ptpro and wdr72 and foxq1-sumo1p1 interaction associated w...
20307507 - Who is ziji? erp responses to the chinese reflexive pronoun during sentence comprehension.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques     Volume:  39     ISSN:  0317-1671     ISO Abbreviation:  Can J Neurol Sci     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0415227     Medline TA:  Can J Neurol Sci     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  774-81     Citation Subset:  IM    
Affiliation:
College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Vasospasm post pituitary surgery: systematic review and 3 case presentations.
Next Document:  Diagnostic challenges revealed from a neuropsychiatry movement disorders clinic.