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[Cognitive deficiency in internal medicine].

M K Ghisla1, A Marengoni, S Cossi

  • 1Cattedra di Medicina Interna, I Divisione di Medicina Generale, Università degli Studi, Spedali Civili di Brescia.

Annali Italiani Di Medicina Interna : Organo Ufficiale Della Societa Italiana Di Medicina Interna
|November 2, 2001
PubMed
Summary
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Multidimensional geriatric assessment in internal medicine identified cognitive impairment in 20% of elderly patients. Early dementia diagnosis, including Alzheimer's and vascular dementia, is crucial for comprehensive elderly care.

Area of Science:

  • Geriatric Medicine
  • Internal Medicine
  • Neurology

Context:

  • Internal Medicine Departments frequently admit patients over 65.
  • Traditional medical goals may conflict with the needs of older adults.
  • Acute illnesses can destabilize the health of elderly patients with multiple comorbidities.

Purpose:

  • To implement and evaluate a geriatric multidimensional assessment in an Internal Medicine Department.
  • To identify cognitive impairment and dementia in elderly patients admitted to internal medicine.
  • To assess physical health, functional ability, psychological, socio-economical status, and behavioral syndromes.

Summary:

  • A geriatric multidimensional assessment was utilized in an Internal Medicine Department.
  • Dementia was diagnosed in 20% of geriatric patients.

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  • Alzheimer's disease (29%) and vascular dementia (44%) were the primary diagnoses within the dementia group.

    • Impact:

    • Highlights the importance of geriatric assessment in internal medicine for identifying cognitive deficits.
    • Emphasizes the high prevalence of dementia in elderly internal medicine patients.
    • Supports the integration of comprehensive geriatric evaluations into internal medicine settings for improved patient management.