J Telemed Telecare - A systematic review of the reliability of screening for cognitive impairment in older adults by use of standardised assessment tools administered via the telephone.

Tópicos

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Resumo

We conducted a systematic review to identify the extent to which the process of screening for cognitive impairment in older adults has been validated for administration by telephone. A search of electronic databases and a handsearch of relevant journals and reference lists were carried out for studies published between 1966 and 2008. The database search identified 411 studies and handsearching found another seven. Fourteen studies were finally identified as relevant to the review: three concerned a modified telephone version of the Mini-Mental State Examination (MMSE); five concerned the Telephone Interview for Cognitive Status; one study tested a telephone-administered Short Portable Mental Status Questionnaire; four studies tested the validity of newly developed tools; and the remaining study considered the Confusion Assessment Method as a means of diagnosing delirium. The quality of the reference standard varied among the papers reviewed. The limited number of high quality studies with suitable reference standards makes it difficult to recommend a specific tool which should be used to assess the cognition of older adults by telephone. In advance of further studies, the 22-item MMSE is simple to administer and was shown to correlate well with the face-to-face MMSE. It appears to be a useful technique for telephone screening for cognitive impairment or delirium, if used in conjunction with the Delirium Symptom Interview.

Resumo Limpo

conduct systemat review identifi extent process screen cognit impair older adult valid administr telephon search electron databas handsearch relev journal refer list carri studi publish databas search identifi studi handsearch found anoth seven fourteen studi final identifi relev review three concern modifi telephon version miniment state examin mmse five concern telephon interview cognit status one studi test telephoneadminist short portabl mental status questionnair four studi test valid newli develop tool remain studi consid confus assess method mean diagnos delirium qualiti refer standard vari among paper review limit number high qualiti studi suitabl refer standard make difficult recommend specif tool use assess cognit older adult telephon advanc studi item mmse simpl administ shown correl well facetofac mmse appear use techniqu telephon screen cognit impair delirium use conjunct delirium symptom interview

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