Cognitive Function Testing in Comprehensive Geriatric Assessment
| Autor: | Harold W. Ward, Enid Rockwell, Marian Renvall, Joe W. Ramsdell, Jo Anne Swart, J. Edward Jackson |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Male
Gerontology medicine.medical_specialty Affect (psychology) Ambulatory Care Facilities Cognition Alzheimer Disease medicine Humans Geriatric Assessment Aged Probability Aged 80 and over Observer Variation business.industry Geriatric assessment Middle Aged Cognitive test Test (assessment) Housing Physical therapy Dementia Female Test performance Residence Geriatrics and Gerontology Cognition Disorders Mental Status Schedule business |
| Zdroj: | Journal of the American Geriatrics Society. 38:1088-1092 |
| ISSN: | 0002-8614 |
| DOI: | 10.1111/j.1532-5415.1990.tb01370.x |
| Popis: | Tests of cognitive function are frequently used in geriatric assessment, but the effect of test setting has rarely been explored. To determine the effect of testing site on the performance of elderly patients undergoing a comprehensive geriatric assessment, we administered the Mini-Mental State Exam to 116 geriatric patients in the clinic and at their residence. Their cognitive abilities varied from normal to severely impaired. The patients' scores were 1.5 +/- 3.6 (mean +/- SD) higher at their residence. The clinical importance of a difference in score of 1.5 is not clear. For this reason a second analysis was performed in which a difference in scores of five points or greater between settings was considered clinically meaningful. Twenty-five percent (29 of 116) differed by five points or more. Of these 29 patients, 22 (76%) tested better in the residential setting. These differences were statistically significant (P = .001). We conclude that the testing site may affect test performance and that in-home assessment may reveal the optimal cognitive function of geriatric patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text