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Is the Clock Drawing Test useful in the screening assessment of aged patients with chronic heart failure?

Karolina Piotrowicz1, Małgorzata Fedyk-Łukasik1, Anna Skalska1

  • 1Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland.

Advances in Medical Sciences
|December 3, 2017
PubMed

Insights

The Clock Drawing Test (CDT) effectively identifies cognitive impairment in elderly heart failure patients. Routine geriatric assessment including the CDT is recommended for this population.

Area of Science:

  • Geriatric Medicine
  • Cardiology
  • Neurology

Background:

  • Cognitive impairment is a common issue in elderly patients with heart failure (HF).
  • The utility of the Clock Drawing Test (CDT) in this specific population has not been well-studied.
  • Assessing cognitive function is crucial for comprehensive geriatric care in HF patients.

Purpose of the Study:

  • To evaluate the effectiveness of the Clock Drawing Test (CDT) in the geriatric assessment of elderly outpatients diagnosed with chronic heart failure (HF).
  • To determine the CDT's utility in identifying cognitive deficits in this patient group.

Main Methods:

  • A cross-sectional analysis was performed on data from 92 elderly heart failure outpatients.
  • The study included results from a comprehensive geriatric assessment (CGA), incorporating the CDT.
  • Cognitive function was assessed using the CDT and compared with the Mini-Mental State Examination (MMSE).

Main Results:

  • A high prevalence of five specific geriatric problems was observed among the participants.
  • The majority of patients showed signs of cognitive deterioration, varying in pattern and severity, as indicated by the CDT.
  • All scoring systems used for the CDT demonstrated a significant correlation with the results of the Mini-Mental State Examination (MMSE).

Conclusions:

  • The Clock Drawing Test (CDT) appears to be a valuable tool for detecting cognitive impairment in elderly heart failure patients.
  • Routine comprehensive geriatric assessment (CGA), including the CDT, is advisable for all elderly patients with heart failure.
  • Integrating the CDT into standard geriatric assessments can improve the identification and management of cognitive deficits in this vulnerable population.
Abstract

Keywords:
Cognitive screeningComprehensive geriatric assessmentGeriatric deficitsShulmanSunderland

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