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首页> 外文期刊>Journal of the American Pharmacists Association: JAPhA >Point-of-care screening to identify cognitive impairment in older adults.
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Point-of-care screening to identify cognitive impairment in older adults.

机译：现场护理筛查以识别老年人的认知障碍。

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摘要

To explore associations between results of a rapid screening tool for cognitive impairment and individual patient characteristics in a sample of patients receiving outpatient anticoagulation therapy who were not previously diagnosed with a dementia. Descriptive, nonexperimental, cross-sectional study. Pharmacist-managed anticoagulation clinic in Spokane, WA, from June 2006 to March 2007. 300 community-dwelling patients aged 60 years or older who had at least 6 months of outpatient anticoagulation therapy services. Following informed consent, demographic, medical history, medication history, anticoagulation therapy, and cognitive screening data were recorded from participant medical records, and a participant interview was performed using a standardized questionnaire and data collection form. Cognitive screening status (suggests cognitive impairment versus suggests dementia less likely) was used as an independent variable by which to compare patient demographics, medical history, medication history, and percent of out-of-range International Normalized Ratio (INR) visits. 55 of 300 participants (18.3%) with no previous diagnosis of a cognitive impairment were classified as "suggests cognitive impairment" based on the screening test. Presence or absence of cognitive impairment differed in those needing assistance with taking medications but was not associated with other sample characteristics, including percentage of visits with out-of-range INR value, gender, in-home care needs, age, and number of medical conditions. Screening at a convenient health care access point may lead to increased identification of community-dwelling elderly patients with unrecognized and undiagnosed cognitive impairment. Pharmacists are particularly well suited to conduct this screening because of the extended and frequent contact they have with patients in settings such as anticoagulation therapy clinics.
机译：探索认知障碍快速筛查工具的结果与接受门诊抗凝治疗的先前未诊断为痴呆症的患者样本中的个体患者特征之间的关联。描述性，非实验性的横断面研究。由药剂师管理的抗凝诊所于2006年6月至2007年3月在华盛顿州斯波坎市。300名60岁或60岁以上的社区居民患者接受了至少6个月的门诊抗凝治疗服务。知情同意后，从参与者的病历中记录人口统计学，病史，用药史，抗凝治疗和认知筛查数据，并使用标准化的问卷和数据收集表进行参与者访谈。认知筛查状态（建议认知障碍与建议痴呆的可能性较小）用作独立变量，通过该变量可以比较患者的人口统计学，病史，用药史以及超出范围的国际标准化比率（INR）。根据筛选测试，以前没有诊断为认知障碍的300名参与者中有55名（18.3％）被分类为“建议认知障碍”。认知障碍的存在与否与需要协助服药的人群有所不同，但与其他样本特征无关，包括INR值超出范围，性别，家庭护理需求，年龄和医疗次数的就诊百分比条件。在便利的医疗保健访问点进行筛查可能会导致对社区居民中患有未被识别和未被诊断的认知障碍的老年患者的识别增加。药剂师特别适合进行此筛查，因为他们在诸如抗凝治疗诊所等场所与患者保持长期而频繁的联系。

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