1 / 10

Clinical Epidemiology of Dementia in Primary Care (grant # AG16705 from NIA)

Clinical Epidemiology of Dementia in Primary Care (grant # AG16705 from NIA). Aka STEEL VALLEY SENIORS SURVEY (SVSS). Ho me. Steel Valley Seniors Survey (SVSS). University of Pittsburgh School of Medicine, Department of Psychiatry; 7 primary care practices including 15 physicians;

ting
Download Presentation

Clinical Epidemiology of Dementia in Primary Care (grant # AG16705 from NIA)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Clinical Epidemiology of Dementia in Primary Care(grant # AG16705 from NIA) Aka STEEL VALLEY SENIORS SURVEY (SVSS) Ho me

  2. Steel Valley Seniors Survey(SVSS) • University of Pittsburgh School of Medicine, Department of Psychiatry; • 7 primary care practices including 15 physicians; • Located in small town areas of McKeesport and White Oak in southwestern Pennsylvania; Home

  3. Materials and MethodsRecruitment / Screening • Patients 65+ years approached during office visit to primary care physician; • Informed consent obtained; • Demographic information • MMSE (Folstein et al 1975) • Permission to review medical records; • Permission to call at home. Home

  4. Total Screened Cohort • 1107 participants recruited during office visits to primary care physicians; • Age: Mean (sd) 76.3 (6.6), • Range: 64.9 – 100.1 years ; • Sex:63.9 % women • Race:95.2% White • Education ( > 12 years) : 23.1% Home

  5. Mini-Mental State Examination (n=1107) Mean (sd) = 25.5 (3.1) Median=26.0 Range 9 - 30 “Cognitive Impairment” MMSE <25 Home

  6. Clinical Evaluations (home visits) • Groups selected for home visit for clinical evaluation: - all “cognitively impaired” participants with MMSE <25; - matched “unimpaired” controls with MMSE > 25; • Clinical evaluators blind to MMSE score. Home

  7. Clinical Evaluations (1) • Neuropsychological assessment; • Depression screening; • Functional status (ADL and IADL); • Prescription and over-the-counter drugs; • Health history (systems review); • Focused general physical examination; • Focused neurological examination; Home

  8. Clinical Evaluations (2) • Subjective memory report; • Social support; • Health service utilization; • Clinical Dementia Rating (Hughes et al 1982) • CDR 0 = No dementia • CDR 0.5 = Possible/questionable dementia • CDR 1 = Mild dementia • CDR 2 = Moderate dementia • CDR 3 = Severe dementia Home

  9. Clinically Evaluated Cohort • 358 participants underwent home visits. • Mean (SD) age: 77.6 (6.7) • CDR = 0 n= 80 (22.4%) • CDR= 0.5 n= 228 (63.7%) • CDR > 1 n= 50 (13.9%) Home

  10. Follow-up • After initial home visit, participants receive a brief telephone interview every 3 months; • Charts are reviewed in the primary care physicians’ offices every 3 months; • A follow-up home visit and clinical assessment takes place every year. Home

More Related