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Instrumental activities of daily living in the screening of dementia in population studies
 — a systematic review and meta-analysis
Author(s)Juan Castilla-Rilo, Jesús López-Arrieta, Félix Bermejo-Pareja
Journal titleInternational Journal of Geriatric Psychiatry, vol 22, no 9, September 2007
Pagespp 829-836
Sourcehttp://www.interscience.wiley.com
KeywordsDementia ; Screening ; Mobility ; Self care capacity ; Evaluation ; Literature reviews ; Research Reviews ; Spain.
AnnotationAlthough the current definitions of dementia in the DSM-IV and ICD-19 require functional deterioration for the diagnosis of dementia, it is not necessarily a formal evaluation of functional capability. This systematic review examining the efficiency of functional assessment as a method of screening dementia in population studies was based on information from MEDLINE, EMBASE, Index Médico Espanol (IME) and related articles. Population studies for under 65s are included in which normal and demented (established diagnosis) subjects are compared. In all of them, subjects were evaluated using the instrumental activities of daily living (IADL) scale as the method of screening for dementia. 2303 abstracts and bibliographical references were reviewed. In order to complete a meta-analysis, the authors of the selected studies were contacted and asked about other ongoing studies or indexes not included in this review. Finally, five studies were selected (n=11960). A meta-analysis was performed, with a statistical "Q" value of 0.88. The functional assessment of the IADL showed an acceptable efficiency for the screening of dementia in the population studies included in this review, although few studies have verified this efficiency (sensitivity and specificity of the scale used). (RH).
Accession NumberCPA-071113211 A
ClassmarkEA: 3V: C4: CA: 4C: 64A: 3A:6KC: 76S

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