Diagnosing dementia in the Arctic: translating tools and developing and validating an algorithm for assessment of impaired cognitive function in Greenland Inuit
| Autor: | Ole Gredal, Paneeraq Noahsen, Inaluk Kleist, Stig Andersen, Johannes Riis |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Health (social science) Small town Referral Epidemiology Greenland RC955-962 Neuropsychological Tests Sensitivity and Specificity 03 medical and health sciences Cognition 0302 clinical medicine Arctic medicine. Tropical medicine medicine Humans Dementia Original Research Article 030212 general & internal medicine inuit mini-cog Cognitive impairment cognitive function validation rudas 030505 public health GREENLAND INUIT Public Health Environmental and Occupational Health General Medicine medicine.disease The arctic Regional hospital Psychiatry and Mental health 0305 other medical science Psychology Algorithms Research Article dementia |
| Zdroj: | Kleist, I, Noahsen, P, Gredal, O, Riis, J & Andersen, S 2022, ' Diagnosing dementia in the Arctic: translating tools and developing and validating an algorithm for assessment of impaired cognitive function in Greenland Inuit ', European Psychiatry, vol. 65, no. Suppl. 1, EPP0141, pp. S173 . https://doi.org/10.1192/j.eurpsy.2022.459 International Journal of Circumpolar Health, Vol 80, Iss 1 (2021) International Journal of Circumpolar Health article-version (VoR) Version of Record Kleist, I, Noahsen, P, Gredal, O, Riis, J & Andersen, S 2021, ' Diagnosing dementia in the Arctic : translating tools and developing and validating an algorithm for assessment of impaired cognitive function in Greenland Inuit ', International Journal of Circumpolar Health, vol. 80, no. 1, 1948247 . https://doi.org/10.1080/22423982.2021.1948247 |
| ISSN: | 2242-3982 0924-9338 |
| DOI: | 10.1080/22423982.2021.1948247 |
| Popis: | Introduction The ageing Arctic populations raise the need for work-up of cognitive function that reflects language and cultural understandings. Objectives To translate and evaluate tools for work-up of cognitive impairment in Greenland. Methods Step A: An expert panel was established to select tools suitable for the work-up of cognitive impairment at three different settings in Greenland. Step B: Tools were translated in a multiple-step process of independent translations with back-translation and adaptations by two independent translators and two Greenlandic physicians. Step C: a testing and validation process of the tools at three locations: the national hospital in the capital city; regional hospital in a town; health care centre in a small town. Results Tools selected were Mini-Cog and RUDAS. Participants for testing of tools were 43 of 61 invited, of which six had dementia. RUDAS and Mini-Cog scores were associated (p < 0.001). The smoothed AUC was 0.87 (95%-CI, 0.65–0.95) for Mini-Cog and 0.90 (95%-CI, 0.76–0.97) for RUDAS. The sensitivity of Mini-Cog with a cut-off at ≤3 was 83.3%, and specificity was 62.2%. For RUDAS with a cut-off at ≤23, these were 100% and 75.7%, respectively. Conclusions Requested tools have been translated for assessing cognitive function in the native Arctic setting. Small town residents with a Mini-Cog score of 3 or lower should be referred to a regional hospital for RUDAS, and a score of 23 or less should cause referral to the national hospital for a full work-up of cognitive function. Disclosure No significant relationships. |
| Databáze: | OpenAIRE |
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