The performance of an instrumental activities of daily living scale in screening for cognitive impairment in elderly community residents
Cromwell, DA; Eagar, K; Poulos, R; (2003) The performance of an instrumental activities of daily living scale in screening for cognitive impairment in elderly community residents. Journal of clinical epidemiology, 56 (2). pp. 131-137. ISSN 0895-4356 DOI: 10.1016/S0895-4356(02)00599-1Full text not available from this repository.
A retrospective analysis of Short Orientation-Memory-Concentration (OMC) and Lawton's IADL data was performed to assess the association between instrumental activities of daily living (IADL) and a rating of cognitive impairment, and to test whether IADL measures can be used to screen for dementia. The study analyzed data from 1,095 elderly community residents who were regarded as potentially benefiting from care coordination. Three IADL items (telephone use, self-medication, and handling finances) were statistically associated with cognitive impairment (OMC cutoff 10/11), independent of age and sex. An IADL indicator based on these items had only modest power in predicting cognitive impairment, its highest sensitivity being 0.71. Specificity was 0.75 at this point, but increased to 0.97 if higher indicator scores were used to define a positive result. In conclusion, the usefulness of an IADL indicator seems limited to ruling out further cognitive assessment rather than positively identify those with dementia.
|Keywords:||Activities of Daily Living, Age Distribution, Aged, Aged, 80 and over, Community Health Services, Dementia, diagnosis, Female, Geriatric Assessment, methods, Health Status Indicators, Humans, Logistic Models, Male, Mass Screening, methods, New South Wales, Psychiatric Status Rating Scales, Psychometrics, Research Support, Non-U.S. Gov't, Retrospective Studies, Sensitivity and Specificity, Sex Distribution|
|Faculty and Department:||Faculty of Public Health and Policy > Dept of Health Services Research and Policy|
|Web of Science ID:||181756500005|
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