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Cognitive assessment and diagnosis of dementia by camdex in elderly general hospital inpatients
Author(s) -
Lázaro L.,
Marcos T.,
Pujol J.,
Valdés M.
Publication year - 1995
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.930100711
Subject(s) - dementia , cognitive impairment , cognitive disorder , medicine , psychiatry , cognition , psychology , gerontology , disease
One hundred and eight patients aged 70 and older randomly chosen from those admitted to the departments of medicine and surgery in a university hospital were examined for dementia by the Cambridge Mental Disorders of the Elderly Examination (CAMDEX) and DSM‐III‐R criteria. Cognitive impairment was assessed by the cognitive section of the CAMDEX (CAMCOG) and the Mini‐Mental State Examination (MMSE). Fifty‐one per cent of the sample met DSM‐III‐R criteria for at least one psychiatric disorder, dementia being the most common (35%). The cut‐off point of CAMCOG (60/61) was more effective (100% sensitivity and 97% specificity) than the cut‐off point of MMSE (21/22) (95% sensitivity and 86% specificity) in detecting dementia, although the optimal cut‐off point of CAMCOG for our sample was lower than that suggested in previous studies.