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Screening cognitive impairment among institutionalized older Chinese men in Taiwan: a new minimum data set-based dementia screening tool is needed.
Arch Gerontol Geriatr. 2011 Jul-Aug; 53(1):e25-8.AG

Abstract

Dementia screening is of great importance in various health settings for older people, long-term care facilities are no exception. The need for an effective dementia screening tool being culture sensitive is important. Minimum data set (MDS) is a population instrument for health care management in the world, which also covers dementia screening. The main purpose of this study was to evaluate the effectiveness of the MDS-based dementia screening tools among older Chinese men in the Veteran Home in Taiwan. Overall, 576 participants (mean age: 80.9±5.3 years, all males, 92.7% physically independent), 18.6% had cognitive impairment according to the mini-mental state examination (MMSE) (mean score: 26.7±3.9). However, the prevalence of cognitive impairment was 5.5% by MDS cognitive performance scale (CPS) and 18.9% by MDS cognition scale (MDS-COGS). The screening results of CPS and MDS-COGS were highly interrelated (γ=0.93, p<0.001), and MMSE scores were also significantly associated with CPS and MDS-COGS status (γ=-0.50, p<0.001 and γ=-0.52, p<0.001, respectively). Although the prevalence of cognitive impairment by MMSE and MDS-COGS are similar, the results are significantly inconsistent (p<0.001). In conclusion, both MDS-COGS and CPS were significantly correlated with MMSE scores, but significant inconsistence was noted between screening results of MMSE, CPS and MDS-COGS. Further study is needed to develop MDS-based dementia screening tools for older Chinese men in Taiwan.

Authors+Show Affiliations

Department of Family Medicine, Taichung Veterans General Hospital, No. 160, Sec 3, Chung-Kang Road, Taichung 40705, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

20947186

Citation

Lin, Chu-Sheng, et al. "Screening Cognitive Impairment Among Institutionalized Older Chinese Men in Taiwan: a New Minimum Data Set-based Dementia Screening Tool Is Needed." Archives of Gerontology and Geriatrics, vol. 53, no. 1, 2011, pp. e25-8.
Lin CS, Lin MH, Peng LN, et al. Screening cognitive impairment among institutionalized older Chinese men in Taiwan: a new minimum data set-based dementia screening tool is needed. Arch Gerontol Geriatr. 2011;53(1):e25-8.
Lin, C. S., Lin, M. H., Peng, L. N., Chen, L. K., Hwang, S. J., & Lan, C. F. (2011). Screening cognitive impairment among institutionalized older Chinese men in Taiwan: a new minimum data set-based dementia screening tool is needed. Archives of Gerontology and Geriatrics, 53(1), e25-8. https://doi.org/10.1016/j.archger.2010.09.010
Lin CS, et al. Screening Cognitive Impairment Among Institutionalized Older Chinese Men in Taiwan: a New Minimum Data Set-based Dementia Screening Tool Is Needed. Arch Gerontol Geriatr. 2011 Jul-Aug;53(1):e25-8. PubMed PMID: 20947186.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Screening cognitive impairment among institutionalized older Chinese men in Taiwan: a new minimum data set-based dementia screening tool is needed. AU - Lin,Chu-Sheng, AU - Lin,Ming-Hsien, AU - Peng,Li-Ning, AU - Chen,Liang-Kung, AU - Hwang,Shinn-Jang, AU - Lan,Chung-Fu, Y1 - 2010/10/13/ PY - 2010/05/31/received PY - 2010/09/12/revised PY - 2010/09/14/accepted PY - 2010/10/16/entrez PY - 2010/10/16/pubmed PY - 2011/10/19/medline SP - e25 EP - 8 JF - Archives of gerontology and geriatrics JO - Arch Gerontol Geriatr VL - 53 IS - 1 N2 - Dementia screening is of great importance in various health settings for older people, long-term care facilities are no exception. The need for an effective dementia screening tool being culture sensitive is important. Minimum data set (MDS) is a population instrument for health care management in the world, which also covers dementia screening. The main purpose of this study was to evaluate the effectiveness of the MDS-based dementia screening tools among older Chinese men in the Veteran Home in Taiwan. Overall, 576 participants (mean age: 80.9±5.3 years, all males, 92.7% physically independent), 18.6% had cognitive impairment according to the mini-mental state examination (MMSE) (mean score: 26.7±3.9). However, the prevalence of cognitive impairment was 5.5% by MDS cognitive performance scale (CPS) and 18.9% by MDS cognition scale (MDS-COGS). The screening results of CPS and MDS-COGS were highly interrelated (γ=0.93, p<0.001), and MMSE scores were also significantly associated with CPS and MDS-COGS status (γ=-0.50, p<0.001 and γ=-0.52, p<0.001, respectively). Although the prevalence of cognitive impairment by MMSE and MDS-COGS are similar, the results are significantly inconsistent (p<0.001). In conclusion, both MDS-COGS and CPS were significantly correlated with MMSE scores, but significant inconsistence was noted between screening results of MMSE, CPS and MDS-COGS. Further study is needed to develop MDS-based dementia screening tools for older Chinese men in Taiwan. SN - 1872-6976 UR - https://www.unboundmedicine.com/medline/citation/20947186/Screening_cognitive_impairment_among_institutionalized_older_Chinese_men_in_Taiwan:_a_new_minimum_data_set_based_dementia_screening_tool_is_needed_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0167-4943(10)00233-5 DB - PRIME DP - Unbound Medicine ER -