Journal article
Evaluation of Suspected Dementia
American family physician, v 84(8), pp 895-902
15 Oct 2011
PMID: 22010769
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
As the proportion of persons in the United States older than 65 years increases, the prevalence of dementia will increase as well. Risk factors for dementia include age, family history of dementia, apolipoprotein E4 genotype, cardiovascular comorbidities, chronic anticholinergic use, and lower educational level. Patient history, physical examination, functional assessment, cognitive testing, laboratory studies, and imaging studies are used to assess a patient with suspected dementia. A two-visit approach is time-effective for primary care physicians in a busy outpatient setting. During the first visit, the physician should administer a screening test such as the verbal fluency test, the Mini-Cognitive Assessment Instrument, or the Sweet 16. These tests have high sensitivity and specificity for detecting dementia, and can be completed in as little as 60 seconds. If the screening test result is abnormal or clinical suspicion of another disease is present, appropriate laboratory and imaging tests should be ordered, and the patient should return for additional cognitive testing. A second visit should include a Mini-Mental State Examination, Geriatric Depression Scale, and verbal fluency and clock drawing tests, if not previously completed. (Am Fam Physician. 2011;84 (8): 895-902. Copyright (C) 2011 American Academy of Family Physicians.)
Metrics
4 Record Views
Details
- Title
- Evaluation of Suspected Dementia
- Creators
- B. Brent Simmons - Drexel UniversityBrett Hartmann - Drexel Univ, Coll Med, Dept Family Community & Prevent Med, Philadelphia, PA 19127 USADaniel Dejoseph - Commonwealth Med Coll, Dept Family Med, Scranton, PA USA
- Publication Details
- American family physician, v 84(8), pp 895-902
- Publisher
- Amer Acad Family Physicians
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Family (Community and Preventive) Medicine
- Web of Science ID
- WOS:000306865700009
- Other Identifier
- 991019183949604721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Primary Health Care