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Screening for cognitive impairment among individuals aged 60 years or over: scoping review
Feichtenberger, Patrícia Regina Piedade; Rocha, Maura Regina Laureano; dos Santos Puga, Maria Eduarda; Martinez, José Eduardo.
  • Feichtenberger, Patrícia Regina Piedade; Pontifícia Universidade Católica de São Paulo (PUC-SP). Sorocaba. BR
  • Rocha, Maura Regina Laureano; Audiology Specialist and Technical director. FONEC - Fonoaudiologia e Neurociência. Itapetininga. BR
  • dos Santos Puga, Maria Eduarda; Information specialist at Cochrane Center in Brazil, São Paulo (SP), Brazil. Director, Library Network, Universidade Federal de São Paulo (UNIFESP). São Paulo. BR
  • Martinez, José Eduardo; Department of Internal Medicine. Pontifícia Universidade Católica de São Paulo (PUC-SP). Sorocaba. BR
São Paulo med. j ; 139(5): 520-534, May 2021. tab, graf
Article in English | LILACS | ID: biblio-1290262
ABSTRACT

BACKGROUND:

Growth in aging of the population has led to increasing numbers of elderly people presenting cognitive impairment and evolution to dementia. There is still no consensus within primary care on the best strategy for screening for cognitive impairment among elderly people. Standardization of a simple but reasonably accurate instrument for a brief cognitive test, in primary care environments, would enable healthcare professionals to identify individuals who require a more in-depth assessment of cognition.

OBJECTIVES:

To investigate the instruments used by healthcare professionals in studies conducted worldwide and ascertain the most suitable instruments for screening for cognitive impairment among individuals aged 60 years or over, in the Brazilian population. DESIGN AND

SETTING:

Scoping review developed at Pontifícia Universidade Católica de São Paulo, Brazil.

METHOD:

A systematic search of the literature was conducted for primary studies using instruments to screen for cognitive impairment among individuals aged 60 years or over, in the MEDLINE, EMBASE, Cochrane Central and LILACS databases.

RESULTS:

A total of 983 articles were identified by two independent reviewers, from which 49 were selected for full-text reading, based on the criteria defined for this review. From this, 16 articles adhering to the theme of screening for cognitive impairment among the elderly were selected for in-depth analysis.

CONCLUSION:

The Mini-Mental State Examination was the instrument most cited in these studies. The Pfeffer Functional Activities Questionnaire and the Verbal Fluency Test (semantic category) present characteristics favoring further studies, for testing as screening instruments for cognitive impairment among elderly people in Brazil.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Dementia / Cognitive Dysfunction Type of study: Diagnostic study / Prognostic study / Qualitative research / Screening study / Systematic reviews Limits: Aged / Humans Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: Audiology Specialist and Technical director/BR / Department of Internal Medicine/BR / Information specialist at Cochrane Center in Brazil, São Paulo (SP), Brazil/BR / Pontifícia Universidade Católica de São Paulo (PUC-SP)/BR

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Full text: Available Index: LILACS (Americas) Main subject: Dementia / Cognitive Dysfunction Type of study: Diagnostic study / Prognostic study / Qualitative research / Screening study / Systematic reviews Limits: Aged / Humans Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: Audiology Specialist and Technical director/BR / Department of Internal Medicine/BR / Information specialist at Cochrane Center in Brazil, São Paulo (SP), Brazil/BR / Pontifícia Universidade Católica de São Paulo (PUC-SP)/BR