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P1‐505: THE CLINICAL USEFULNESS AND VALIDITY OF THE NOVEL TABLET‐BASED COGNITIVE SCREENING TEST IN PATIENTS WITH SUBJECTIVE COGNITIVE DECLINE AND AMNESTIC MILD COGNITIVE IMPAIRMENT
Author(s) -
Chin Juhee,
Lee Byung Hwa,
Yun Juoh,
Yeom Jiho,
Kim Nakyoung,
Shin Dae-seok,
Na Duk L.
Publication year - 2018
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2018.06.516
Subject(s) - cognition , audiology , boston naming test , test (biology) , verbal fluency test , neuropsychology , psychology , cognitive test , trail making test , neuropsychological test , fluency , medicine , psychiatry , paleontology , mathematics education , biology
used to administer the CANTAB Paired Associates Learning (PAL) test, an adaptive test of visuospatial memory and two optional questionnaires, the Geriatric Depression Scale (GDS-15) and a 13-item questionnaire of activities of daily living. Scores on PAL are automatically compared to a large normative database and adjusted for age, education and gender. On the basis of this comparison, patients are categorized as having a clinically-relevant memory deficit (Z <-1.5), being in the borderline range or having memory in the normal range (Z >-1). Data were collated from retrospective case note review and included reasons for testing, results, and post-test referral. Results: Data were obtained from 913 patients, tested between 2012-2017. Reason for testing was obtained for 714 patients. The most common reason was patient concerns (n1⁄4334), followed by family, partner or carer concerns (n1⁄4112), and healthcare professional concerns (n1⁄459). An additional 117 had reported memory or cognitive problems, without specifying the informant, while 79 were offered assessment as part of a checkup or screening process without a statement of concern. Data on memory outcomes were obtained for n1⁄4865. Significant memory problems were found in 440 patients, 409 screened negative for memory deficits and 46 were borderline. Outcomes from follow-up were provided for n1⁄4405, including primary care monitoring, secondary care referral and patient refusal of further investigation. Conclusions:These data are the first to illustrate the use of this digital medical device for memory assessment, in primary care. It illustrates patient demand for objective memory triage and the diverse routes to referral following such assessment.