J Telemed Telecare - The Rowland Universal Dementia Assessment Scale (RUDAS) as a reliable screening tool for dementia when administered via videoconferencing in elderly post-acute hospital patients.

Tópicos

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Resumo

The Rowland Universal Dementia Assessment Scale (RUDAS) is a six-domain screening tool for dementia. We measured the practicality and reliability of administering the RUDAS in a telemedicine setting. Inpatients were recruited from a Geriatric and Rehabilitation Unit. Each patient was administered the RUDAS both face-to-face (FTF) and via videoconferencing (VC). The assessment format (FTF or VC) and the allocation of doctor (Doctor 1 or Doctor 2) to format were randomized. Scores from each assessment format were compared. The outcome of no difference was decided based on a difference in mean of no more than ? one point. Percentage agreement (agreement being ?2 points) was calculated on individual test scores. Forty-two patients (average age 75 years) completed the two assessments. Their mean Mini-Mental State Examination (MMSE) score was 24.7 (range 10-30). The mean RUDAS score for both FTF and VC assessment was 24.9 (difference between the means 0.04), i.e. there was no significant difference. The results suggest that the RUDAS can be reliably administered via VC in post acute patients as an alternative to FTF administration.

Resumo Limpo

rowland univers dementia assess scale ruda sixdomain screen tool dementia measur practic reliabl administ ruda telemedicin set inpati recruit geriatr rehabilit unit patient administ ruda facetofac ftf via videoconferenc vc assess format ftf vc alloc doctor doctor doctor format random score assess format compar outcom differ decid base differ mean one point percentag agreement agreement point calcul individu test score fortytwo patient averag age year complet two assess mean miniment state examin mmse score rang mean ruda score ftf vc assess differ mean ie signific differ result suggest ruda can reliabl administ via vc post acut patient altern ftf administr

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