Factors associated with cognitive evaluations in the United States

被引：72

作者：

Kotagal, Vikas ^{[1
]}

Langa, Kenneth M. ^{[2
]}

Plassman, Brenda L. ^{[5
]}

Fisher, Gwenith G. ^{[7
]}

Giordani, Bruno J. ^{[1
,3
,4
]}

Wallace, Robert B. ^{[8
]}

Burke, James R. ^{[6
]}

Steffens, David C. ^{[9
]}

Kabeto, Mohammed ^{[2
]}

Albin, Roger L. ^{[1
]}

Foster, Norman L. ^{[10
]}

机构：

[1] Univ Michigan, Dept Neurol, Ann Arbor, MI 48109 USA

[2] Univ Michigan, Dept Internal Med, Ann Arbor, MI 48109 USA

[3] Univ Michigan, Dept Psychiat, Ann Arbor, MI 48109 USA

[4] Univ Michigan, Dept Psychol, Ann Arbor, MI USA

[5] Duke Univ, Med Ctr, Dept Psychiat, Durham, NC 27710 USA

[6] Duke Univ, Med Ctr, Dept Neurol, Durham, NC USA

[7] Colorado State Univ, Dept Psychol, Ft Collins, CO 80523 USA

[8] Univ Iowa, Dept Epidemiol, Iowa City, IA USA

[9] Univ Connecticut, Ctr Hlth, Dept Psychiat, Farmington, CT 06032 USA

[10] Univ Utah, Dept Neurol, Salt Lake City, UT USA

来源：

NEUROLOGY | 2015年 / 84卷 / 01期

关键词：

ALZHEIMERS-DISEASE; DEMENTIA; CARE; IMPAIRMENT; DIAGNOSIS; INTERVENTION; DEMOGRAPHICS; PREVALENCE; DONEPEZIL; SEVERITY;

D O I：

10.1212/WNL.0000000000001096

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objective: We aimed to explore factors associated with clinical evaluations for cognitive impairment among older residents of the United States. Methods: Two hundred ninety-seven of 845 subjects in the Aging, Demographics, and Memory Study (ADAMS), a nationally representative community-based cohort study, met criteria for dementia after a detailed in-person study examination. Informants for these subjects reported whether or not they had ever received a clinical cognitive evaluation outside of the context of ADAMS. Among subjects with dementia, we evaluated demographic, socioeconomic, and clinical factors associated with an informant-reported clinical cognitive evaluation using bivariate analyses and multivariable logistic regression. Results: Of the 297 participants with dementia in ADAMS, 55.2% (representing about 1.8 million elderly Americans in 2002) reported no history of a clinical cognitive evaluation by a physician. In a multivariable logistic regression model (n = 297) controlling for demographics, physical function measures, and dementia severity, marital status (odds ratio for currently married: 2.63 [95% confidence interval: 1.10-6.35]) was the only significant independent predictor of receiving a clinical cognitive evaluation among subjects with study-confirmed dementia. Conclusions: Many elderly individuals with dementia do not receive clinical cognitive evaluations. The likelihood of receiving a clinical cognitive evaluation in elderly individuals with dementia associates with certain patient-specific factors, particularly severity of cognitive impairment and current marital status.

引用

页码：64 / 71

页数：8

共 37 条

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