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Centre for Policy on Ageing | |
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| The diagnostic value of IADL evaluation in the detection of dementia in general practice | | Author(s) | J de Lepeleire, B Aertgeerts, I Umbach |
| Journal title | Aging & Mental Health, vol 8, no 1, January 2004 |
| Pages | pp 52-57 |
| Source | http://www.tandfonline.com |
| Keywords | Dementia ; Screening ; General practice ; Self care capacity ; Mobility ; Evaluation ; Belgium. |
| Annotation | During one month, 21 Flemish general practitioners (GPs) evaluated the instrumental activities of daily living (IADL) capacities of all subjects aged 65+ with whom they had contact, other than those with dementia living in residential homes. All subjects with an IADL score of 1 or more and a random sample of those with an IADL score of 0 underwent a Mini Mental State Examination (MMSE). Those with an IADL score=4 were referred for neuropsychological or special examination. The average age of the 1003 registered subjects was 75.1; most (85%) were totally independent. There was a large discrepancy between the family's and patient's judgment on the presence of memory problems. There was an inverse correlation between the IADL and MMSE: when the IADL increased, the MMSE score fell. The evaluation of IADL activities had some drawbacks as a detection method for dementia, but the use of IADL data may still be clinically valuable in general practice. The correlation between the GP's judgment and that of the specialist was very good. The study showed that use of the IADL score might change the GP's diagnostic judgment. The study also confirms the existence of a major threshold for GPs' referral to a specialist of patients with suspected dementia. (RH). |
| Accession Number | CPA-040311211 A |
| Classmark | EA: 3V: L5: CA: C4: 4C: 76E |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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