Clinical utility of cognitive screening instruments in dementia patients of neurology OPD (Memory Clinic) in Eastern Uttar Pradesh, India
Journal Title: Indian Journal of Neurosciences - Year 2018, Vol 4, Issue 4
Abstract
Introduction Dementia is a major public health challenge that is becoming more common with growing age It involves progressive and often remorseless decline in cognition functions behavior and care needs The Assessment of dementia greatly relies on collateral as well as patientderived information The use of various cognitive tests assumes great importance during the process of diagnostic investigation In this research we attempt to assess the practical usage of various cognitive scalesMaterials and Methods In this study we studied the data of 233 patients in the neurology OPD The following cognitive scales like Montreal Cognitive Assessment MoCA Addenbrookes Cognitive Examination ACE Hachinski Ischemic Score HIS and Everyday Abilities Scale for India EASI were performed on the above selected data of patientResults 228 9785 of patients were found to have cognitive impairment when screened with MoCA However 230 987 of patients screened with EASI had a disability score The patients with a HIS score of more than 7 was 64 279 Whereas ACE indicated all patients had score below 83 100 The sensitivity of MoCA ACE and EASI score was 7269 and 7229 7174 respectively with a specificity of 50 and 100 00 respectively for the above scores whereas the sensitivity and specificity of HIS was 4950 and 1061Conclusion MoCA ACE and EASI tools have good capability to detect most patients with cognitive impairments They are sensitive to predict probable cases of dementia therefore can be used as an efficient diagnostic tool in quick screening of cognitive impairmentKeywords Montreal Cognitive Assessment MoCA Addenbrookes Cognitive Examination ACE Hachinski Ischemic Score HIS Everyday Abilities Scale for India EASI and dementia
Authors and Affiliations
S Kant, Kara Poddar, M Kamle, C Patil
Keywords
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- EP ID EP490485
- DOI 10.18231/2455-8451.2018.0045
- Views 107
- Downloads 0
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