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Identifying Dementia Risk in Older Veterans Using A Mailing Survey.

A Shah1, O Ysea-Hill, A Torres-Morales

  • 1Jorge G. Ruiz, MD, Associate Director for Clinical Affairs, Miami VA Healthcare System, Geriatric Research, Education and Clinical Center (GRECC), GRECC (11GRC), Bruce W. Carter Miami VAMC, 1201 NW 16th Street, Miami, Florida 33125, USA, Telephone: (305) 575-3388 / Fax: (305) 575-3365, E-mail: j.ruiz@med.miami.edu, ORCID: 0000-0003-3069-8502.

The Journal of Prevention of Alzheimer'S Disease
|May 11, 2022
PubMed
Summary
This summary is machine-generated.

Dementia risk is higher in frail older Veterans. A mailed screening using the Self-Administered Gerocognitive Examination (SAGE) effectively identified individuals at high risk, suggesting a feasible prevention strategy.

Keywords:
Dementia riskdementiamild cognitive impairment

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Area of Science:

  • Gerontology
  • Neurology
  • Public Health

Background:

  • Dementia prevention is increasingly recognized as a possibility.
  • Frailty is a potential risk factor for cognitive impairment (CI).
  • Older Veterans may represent a population at risk for dementia.

Purpose of the Study:

  • To assess dementia risk in older Veterans.
  • To determine if frailty status influences dementia risk.
  • To evaluate the feasibility of mailed dementia risk screening.

Main Methods:

  • A mailed questionnaire and the Self-Administered Gerocognitive Examination (SAGE) were used for screening.
  • High dementia risk was defined by SAGE results (mild cognitive impairment) or a CAIDE score ≥6.
  • Response rate and completion of mailed surveys were assessed.

Main Results:

  • A response rate of 19.75% was achieved from 5,432 mailed surveys.
  • 75.9% of participants were identified as being at high risk for dementia.
  • Frail individuals had a significantly greater risk of dementia (OR: 1.921, p=.002) compared to robust individuals.

Conclusions:

  • Older Veterans, particularly those with frailty, are at increased risk for dementia.
  • Mailed dementia risk screening is a feasible, scalable, and convenient method.
  • Early identification through screening can support dementia prevention efforts.