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Subjective memory complaints in the elderly: a sign of cognitive impairment?

Abstract

OBJECTIVES

Cognitive impairment in the elderly is frequently overlooked by general practitioners. The use of subjective memory complaints as a sign of cognitive impairment by the general practice is controversial.

METHODS

Elderly individuals (N = 248) were asked whether they had memory complaints and underwent a cognitive impairment screening. Subjects classified as exhibiting "probable cognitive impairment" underwent a complete cognitive evaluation, and the final diagnoses were established by expert consensus.

RESULTS

A total of 147 patients presented with subjective memory complaints, and 43 were further classified as demented or "cognitively impaired not demented". Subjective memory complaints presented a sensitivity of 100% and a negative predictive value of 100%.

CONCLUSION

Subjective memory complaints are an indicator for cognitive impairment screening.

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  • Authors+Show Affiliations

    ,

    Faculdade de Medicina, Universidade de São Paulo, Department of Neurology, São PauloSP, Brazil, Faculdade de Medicina da Universidade de São Paulo, Department of Neurology, São Paulo/SP, Brazil.

    ,

    Faculdade de Medicina, Universidade de São Paulo, Department of Neurology, São PauloSP, Brazil, Faculdade de Medicina da Universidade de São Paulo, Department of Neurology, São Paulo/SP, Brazil.

    ,

    Faculdade de Medicina, Universidade de São Paulo, Department of Neurology, São PauloSP, Brazil, Faculdade de Medicina da Universidade de São Paulo, Department of Neurology, São Paulo/SP, Brazil.

    ,

    Faculdade de Medicina, Universidade de São Paulo, Internal Medicine, São PauloSP, Brazil, Faculdade de Medicina da Universidade de São Paulo, Internal Medicine, São Paulo/SP, Brazil.

    Faculdade de Medicina, Universidade de São Paulo, Internal Medicine, São PauloSP, Brazil, Faculdade de Medicina da Universidade de São Paulo, Internal Medicine, São Paulo/SP, Brazil.

    Source

    Clinics (São Paulo, Brazil) 69:3 2014 Mar pg 194-7

    MeSH

    Age Factors
    Aged
    Brazil
    Cognition Disorders
    Dementia
    Educational Status
    Female
    General Practice
    Geriatric Assessment
    Humans
    Male
    Memory Disorders
    Neuropsychological Tests
    Questionnaires
    Sensitivity and Specificity

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    24626946