Premium
P4‐390: HOW WELL ARE ICD 10 CODES USED TO RECORD COGNITIVE IMPAIRMENT IN AUSTRALIAN HOSPITALS?
Author(s) -
Yates Mark William,
Watts Jennifer J.,
Brodaty Henry
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.2018.07.214
Subject(s) - cognitive impairment , delirium , dementia , medicine , cognition , pediatrics , aged care , memory impairment , gerontology , psychiatry , disease
was reviewed to determine the relationship between hearing loss and cognitive testing outcomes. Focusing on the cognitive assessments such as the MMSE and the MoCA and including those recommended by the Alzheimer’s Association Cognitive Assessment Toolkit, (the AD8, GPCOG, IQCODE MiniCog, and MIS) an evaluation of procedures for administering and scoring each test was conducted to determine whether hearing loss could impact comprehension of instructions and test items, and/or scoring. Results: Of the seven tests reviewed, five (71%) required some form of word recall in which a patient listened to a series of words and repeated them immediately and again later in the testing. Sound aversion or word/sentence comprehension over background noise are some examples of symptoms that could result from hearing loss, dementia or both. Conclusions: Overlap in communication-related hearing loss and dementia symptoms may confound cognitive screening results. Hearing loss can also go undetected or unacknowledged. Based on current evidence, characterizing an individual’s hearing ability is an essential component of holistic and patient-centered cognitive assessment.