Cognitive measures lacking in EHR prior to dementia or Alzheimer's disease diagnosis
| Autor: | Henry Krzywy, Susan Eaton, Nancy N. Maserejian, James E. Galvin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Male Epidemiology Disease 03 medical and health sciences Cellular and Molecular Neuroscience 0302 clinical medicine mild cognitive impairment Developmental Neuroscience Alzheimer Disease medicine Health insurance electronic medical records Dementia Humans 030212 general & internal medicine neurocognitive tests Socioeconomic status Point of care Aged Aged 80 and over Mini–Mental State Examination medicine.diagnostic_test business.industry Featured Articles Health Policy Cognition Featured Article Alzheimer's disease medicine.disease Mental Status and Dementia Tests healthcare disparities Psychiatry and Mental health electronic health records Mini‐Mental State Examination Female Neurology (clinical) Geriatrics and Gerontology business 030217 neurology & neurosurgery Dementia research dementia |
| Zdroj: | Alzheimer's & Dementia |
| ISSN: | 1552-5279 1552-5260 |
| Popis: | Introduction The extent that cognitive measures are documented in electronic health records (EHR) is important for quality care and addressing disparities in timely diagnosis of dementia or Alzheimer's disease (AD). Methods Analysis of U.S. EHR data to describe the frequency and factors associated with cognitive measures prior to diagnosis of dementia (N = 111,125) or AD (N = 30,203). Results Only 11% of dementia patients and 24% of AD patients had a cognitive measure documented in the 5 years prior to diagnosis. Black race, older age, non‐commercial health insurance, lower mean neighborhood income, greater in‐patient stays, and fewer out‐patient visits were associated with lacking cognitive measures. Discussion Extensive missing cognitive data and differences in the availability of cognitive measures by race, age, and socioeconomic factors hinder patient care and limit utility of EHR for dementia research. Structured fields and prompts for cognitive data inputs at the point of care may help address these gaps. |
| Databáze: | OpenAIRE |
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