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Screening for cognitive impairment in the elderly

C Bush1, J Kozak, T Elmslie

  • 1Ottawa Hospital.

Canadian Family Physician Medecin De Famille Canadien
|November 14, 1997
PubMed
Summary
This summary is machine-generated.

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Most primary care physicians recognize the need for cognitive impairment screening in elderly patients but rarely perform it due to time constraints. They are open to using the clock drawing test, a quick screening tool.

Area of Science:

  • Geriatric Medicine
  • Primary Care Practice
  • Cognitive Health

Background:

  • Cognitive impairment is a significant concern in elderly populations.
  • Primary care physicians play a crucial role in early detection.
  • Current screening practices and barriers are not well understood.

Purpose of the Study:

  • To assess the extent and methods of cognitive impairment screening by primary care physicians for elderly patients.
  • To identify perceived barriers hindering cognitive screening.
  • To evaluate physician willingness to adopt the clock drawing test for cognitive screening.

Main Methods:

  • A mailed questionnaire survey was distributed to primary care physicians in the Ottawa-Carleton region.
  • Data were collected from 360 eligible family physicians and general practitioners.

Related Experiment Videos

  • The survey included questions on cognitive screening practices, demographics, and practice characteristics.
  • Main Results:

    • Approximately 80% of physicians reported performing at least one mental status examination annually, but only 24% routinely screened for cognitive impairment.
    • Key barriers identified include lack of time, patient offense risk, and follow-up concerns.
    • Physicians viewed the clock drawing test favorably as a screening method if its effectiveness is established.

    Conclusions:

    • A significant gap exists between the perceived need for cognitive screening and its routine implementation by primary care physicians.
    • Lack of time is the primary barrier, which the clock drawing test may help overcome due to its efficiency.
    • The clock drawing test shows promise in facilitating cognitive screening in primary care settings.