Screening for cognitive impairment in an elderly veteran population: acceptability and results using different versions of the Mini-Cog.


OBJECTIVES:To assess the feasibility of cognitive screening in older veterans presenting for routine primary care. DESIGN:Quality improvement initiative. SETTING:Seven Veterans Affairs Medical Centers. PARTICIPANTS:Veterans aged 70 and older without a prior diagnosis of cognitive impairment. MEASUREMENTS:Scores from 16 different versions of the Mini-Cog, a 5-point cognitive screen consisting of three-word recall (0-3 points) with a clock-drawing interference task (0 or 2 points). Five word lists were paired with three clock times and randomly ordered for presentation with the original Mini-Cog version. The conventional dementia screening cut point was increased to maximize sensitivity; to pass, patients had to draw the clock correctly and recall at least two of three words (score 4 or 5/5). RESULTS:Administering the Mini-Cog took 90 to 180 seconds. Of 8,342 veterans approached, 8,063 (96.7%) agreed to be screened; 2,081 (25.8%) scored less than 4 out of 5. Scores declined with age, but age did not predict pass or fail. Different word lists produced different screen failure rates, ranging from 21.2% to 33.4%. Five dementia specialists were unable to distinguish harder from easier lists. Different clock times accounted for 2% or less of the difference in failure rates. CONCLUSION:The Mini-Cog was quick and well accepted by older veterans. Many with no prior documentation of cognitive impairment failed the screen. Failure rates varied with the word list used, revealing that even apparently minor changes in test items affect screen results. Additional study is needed to establish the value of cognitive screening in shaping primary care of older veterans.


J Am Geriatr Soc


McCarten JR,Anderson P,Kuskowski MA,McPherson SE,Borson S




Has Abstract


2011-02-01 00:00:00












  • Patterns of dementia diagnosis in surveillance, epidemiology, and end results breast cancer survivors who use chemotherapy.

    abstract:OBJECTIVES:To determine patterns of dementia diagnosis seen after chemotherapy treatment. DESIGN:Using the linked Surveillance, Epidemiology, and End Results (SEER)-Medicare database, International Classification of Diseases, Ninth Revision (ICD-9) diagnoses of dementia occurring in the years after breast cancer diagn...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Heck JE,Albert SM,Franco R,Gorin SS

    更新日期:2008-09-01 00:00:00

  • Increase in Disability Prevalence Before Hip Fracture.

    abstract:OBJECTIVES:To establish the prevalence and correlates of disability during the 2 years before hip fracture. DESIGN:Data from participants who experienced hip fracture in the Health and Retirement Study (HRS) with hip fracture identified using linked Medicare claims. Each participant was interviewed at varying time poi...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Smith AK,Cenzer IS,John Boscardin W,Ritchie CS,Wallhagen ML,Covinsky KE

    更新日期:2015-10-01 00:00:00

  • Nurses' and physicians' attitudes toward tube-feeding decisions in long-term care.

    abstract::We studied attitudes of health professionals toward life-sustaining treatment. A patient management questionnaire sent to staff physicians and nurses in 183 Oregon nursing homes consisted of eight patient sketches which varied age, mental status, and enjoyment of life. Respondents were asked whether they would favor t...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Watts DT,Cassel CK,Hickam DH

    更新日期:1986-08-01 00:00:00

  • Memory complaints of elderly people in a population survey: variation according to dementia stage and depression.

    abstract:OBJECTIVE:To study the relationship between subjective memory complaints, cognitive functioning, and clinical diagnosis of dementia. DESIGN:Cross-sectional, total-population survey. MEASUREMENTS:A two-phase study was done. All 2368 were screened by Mini-Mental State Examination (MMSE). Then the 314 who screened posit...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Grut M,Jorm AF,Fratiglioni L,Forsell Y,Viitanen M,Winblad B

    更新日期:1993-12-01 00:00:00

  • Typology of Family Relationship and Elder Mistreatment in a US Chinese Population.

    abstract:OBJECTIVES:To examine the associations between typology of family relationship and risk of elder mistreatment (EM). DESIGN:Population-based epidemiological cross-sectional study. SETTING:Community-dwelling older adults in the greater Chicago area. PARTICIPANTS:A total of 3157 US older Chinese immigrants. MEASUREMEN...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Li M,Guo M,Stensland M,Silverstein M,Dong X

    更新日期:2019-08-01 00:00:00

  • A Randomized Clinical Trial of Wheeled Mobility for Pressure Injury Prevention and Better Function.

    abstract:OBJECTIVES:To evaluate the effectiveness of wheelchair assessment and configuration on pressure injury incidence, mobility, and functioning in a wheelchair. DESIGN:Randomized controlled trial with participants individually randomized into intervention and control groups. SETTING:Nursing home. PARTICIPANTS:Nursing ho...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验


    authors: Brienza DM,Karg PE,Bertolet M,Schmeler M,Poojary-Mazzotta P,Vlachos H,Wilkinson D

    更新日期:2018-09-01 00:00:00

  • Adult immunization in university-based primary care and specialty practices.

    abstract::The purpose of this study was to assess vaccination status of adults in primary and specialty care practices in a retrospective review of medical records from 1997 to 2000 at one university medical center. Eligible patients were aged 50 and older and had two or more visits to primary and specialty care practices (N=14...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Daniels NA,Nguyen TT,Gildengorin G,Pérez-Stable EJ

    更新日期:2004-06-01 00:00:00

  • Hospital and medical care use by nursing home patients: the effect of patient care plans.

    abstract::Although there has been increasing attention to the ethical and legal issues involved in the patient's right to have treatment or hospitalization withheld, there have been few empirical evaluations of programs designed to accomplish that end. Over a 7-year period, a medical group cared for 110 patients in a skilled nu...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Mott PD,Barker WH

    更新日期:1988-01-01 00:00:00

  • Iatrogenic disease in hospitalized elderly veterans.

    abstract::To help determine whether or not the elderly are at unusually high risk for hospital-related complications, a study was made of consecutive admissions involving 48 patients less than 65 years old (mean 50.3 years) and 174 patients more than 65 years old (mean 73.1 years). They were prospectively followed during their ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Jahnigen D,Hannon C,Laxson L,LaForce FM

    更新日期:1982-06-01 00:00:00

  • Proton Pump Inhibitors and Risk of Mild Cognitive Impairment and Dementia.

    abstract:OBJECTIVES:To examine the risk associated with the use of proton pump inhibitors (PPIs) of conversion to mild cognitive impairment (MCI), dementia, and specifically Alzheimer's disease (AD). DESIGN:Observational, longitudinal study. SETTING:Tertiary academic Alzheimer's Disease Centers funded by the National Institut...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Goldstein FC,Steenland K,Zhao L,Wharton W,Levey AI,Hajjar I

    更新日期:2017-09-01 00:00:00

  • Pressure-redistributing support surface use and pressure ulcer incidence in elderly hip fracture patients.

    abstract:OBJECTIVES:To evaluate the association between pressure-redistributing support surface (PRSS) use and incident pressure ulcers in older adults with hip fracture. DESIGN:Secondary analysis of data from prospective cohort with assessments performed as soon as possible after hospital admission and on alternating days for...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Rich SE,Shardell M,Hawkes WG,Margolis DJ,Amr S,Miller R,Baumgarten M

    更新日期:2011-06-01 00:00:00

  • A longitudinal analysis of total 3-year healthcare costs for older adults who experience a fall requiring medical care.

    abstract:OBJECTIVES:To compare longitudinal changes in healthcare costs between fallers admitted to the hospital at the time of the fall (admitted), those not admitted to the hospital (nonadmitted), and nonfaller controls; test hypotheses related to differences in mean costs between and within these groups over time; and estima...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Bohl AA,Fishman PA,Ciol MA,Williams B,Logerfo J,Phelan EA

    更新日期:2010-05-01 00:00:00

  • Effects of prompted voiding on fecal continence among nursing home residents.

    abstract:OBJECTIVE:To determine the effects of prompted voiding on fecal continence in nursing home residents. DESIGN:Prospective, uncontrolled trial of prompted voiding for urinary incontinence. PARTICIPANTS:One hundred sixty-five nursing home residents who completed a 9 to 10-week trial. MEASUREMENTS:Trained research aides...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章


    authors: Ouslander JG,Simmons S,Schnelle J,Uman G,Fingold S

    更新日期:1996-04-01 00:00:00

  • Falls in the institutionalized elderly.

    abstract::The reports on 72 of 190 accidents occurring among 189 nursing home residents during a 3-month period were drawn at random and reviewed. The majority of the accidents were falls, either major or minor. Personal data on the residents included age, sex, mental status, number of diseases, and number of drugs administered...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Kalchthaler T,Bascon RA,Quintos V

    更新日期:1978-09-01 00:00:00

  • Efficacy, safety, and tolerability of sertraline in patients with late-life depression and comorbid medical illness.

    abstract:OBJECTIVES:To report on the efficacy, safety, and tolerability of sertraline in the treatment of elderly depres-sed patients with and without comorbid medical illness. SETTING:Multicenter. DESIGN:Randomized, double-blind, placebo-controlled study. PARTICIPANTS:A total of 752 patients aged 60 and older with diagnosis...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Sheikh JI,Cassidy EL,Doraiswamy PM,Salomon RM,Hornig M,Holland PJ,Mandel FS,Clary CM,Burt T

    更新日期:2004-01-01 00:00:00

  • Risk of Mortality in Individuals with Hip Fracture and Traumatic Brain Injury.

    abstract:OBJECTIVES:To estimate the prevalence of diagnosed traumatic brain injury (TBI) in individuals hospitalized with hip fracture and examine its association with all-cause mortality. DESIGN:Nested cohort study. SETTING:National sample of Medicare beneficiaries from 2006 to 2010. PARTICIPANTS:Beneficiaries aged 65 and o...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Albrecht JS,Al Kibria G,Gruber-Baldini A,Magaziner J

    更新日期:2019-01-01 00:00:00

  • The Prognostic Performance of Frailty for Delirium and Functional Decline in Vascular Surgery Patients.

    abstract:BACKGROUND:Frailty in older vascular surgery patients is associated with increased mortality, hospital stay, and morbidity. The association of frailty with hospital-acquired geriatric syndromes such as delirium and functional decline has not been well studied. OBJECTIVES:To investigate the association between frailty ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Thillainadesan J,Mudge AM,Aitken SJ,Hilmer SN,Cullen JS,Yumol MF,Close JCT,Norris CM,Kerdic R,Naganathan V

    更新日期:2020-11-05 00:00:00

  • Biomarkers for delirium--a review.

    abstract::To improve delirium recognition and care, numerous serum biomarkers have been investigated as potential tools for risk stratification, diagnosis, monitoring, and prognostication of delirium. The literature was reviewed, and no evidence was found to support the clinical use of any delirium biomarker, although certain b...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审


    authors: Khan BA,Zawahiri M,Campbell NL,Boustani MA

    更新日期:2011-11-01 00:00:00

  • Vitamin D deficiency in older people.

    abstract::Because of changes that occur with aging, older people with any other risk factors for vitamin D deficiency are likely to have inadequate stores of this vitamin. The consequences of vitamin D deficiency are likely to be losses in bone, strength, and function and the development of pain. Many questions remain regarding...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审


    authors: Gloth FM 3rd,Tobin JD

    更新日期:1995-07-01 00:00:00

  • Recent Literature on Medication Errors and Adverse Drug Events in Older Adults.

    abstract::Medication errors and adverse drug events are common in older adults, but locating literature addressing these issues is often challenging. The objective of this article is to summarize recent studies addressing medication errors and adverse drug events in a single location to improve accessibility for individuals wor...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审


    authors: Naples JG,Hanlon JT,Schmader KE,Semla TP

    更新日期:2016-02-01 00:00:00

  • A concept of loneliness in the elderly.

    abstract::The author's concept of loneliness is described, especially as it concerns the elderly. An attempt is made to develop an understanding of the word, with its implications for guidance in the nursing profession. The nurse's defenses against her own feelings of loneliness and depression can inhibit therapeutic interactio...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Williams LM

    更新日期:1978-04-01 00:00:00

  • Geriatric sweet tooth. A problem with tricyclics.

    abstract::Ninety-three consecutive outpatients receiving tricyclic antidepressants for at least one month were asked about medication side effects, including excessive appetite and craving for sweets. Prevalence of these side effects and their relationship (Pearson r) to type of medication, dosage, patient characteristics, diag...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Stein EM,Stein S,Linn MW

    更新日期:1985-10-01 00:00:00

  • Clinical utility of a rapid diagnostic test series for elderly psychiatric outpatients.

    abstract::Psychiatric evaluation of the elderly is especially difficult for several reasons, e.g., the presence of organic impairment, the effects of multiple drug therapy, and the tendency to confuse the normal concomitants of aging with neurotic symptoms. The authors have developed and evaluated a brief series of self-report ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Murkofsky C,Conte HR,Plutchik R,Karasu TB

    更新日期:1978-01-01 00:00:00

  • Delirium: masquerades and misdiagnosis in elderly inpatients.

    abstract::Delirium is an organic mental disorder defined as transient, fluctuating global dysfunction of cognition. It is common in elderly medical inpatients, yet its varied presentation is often missed or misdiagnosed. ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Lyness JM

    更新日期:1990-11-01 00:00:00

  • Determining care management activities associated with mastery and relationship strain for dementia caregivers.

    abstract:OBJECTIVES:To identify specific care management activities within a dementia care management intervention that are associated with 18-month change in caregiver mastery and relationship strain. DESIGN:Exploratory analysis, using secondary data (care management processes and caregiver outcomes) from the intervention arm...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Connor KI,McNeese-Smith DK,Vickrey BG,van Servellen GM,Chang BL,Lee ML,Vassar SD,Chodosh J

    更新日期:2008-05-01 00:00:00

  • Developing a stroke unit using the acute care for elders intervention and model of care.

    abstract::The Acute Care for Elders (ACE) model of care is a multicomponent intervention that improves outcomes for older patients hospitalized for acute medical illnesses. Likewise, stroke units improve outcomes for patients with acute stroke, yet the descriptions of their structure and approach to stroke management are hetero...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审


    authors: Allen KR,Hazelett SE,Palmer RR,Jarjoura DG,Wickstrom GC,Weinhardt JA,Lada R,Holder CM,Counsell SR

    更新日期:2003-11-01 00:00:00

  • Prevalence and risks of dementia in the Japanese population: RERF's adult health study Hiroshima subjects. Radiation Effects Research Foundation.

    abstract:OBJECTIVES:To study the prevalence rate of dementia and its subtypes in Japan and to investigate the relationship of risk factors, such as demographic features and disease history, to the prevalence of Alzheimer's disease or vascular dementia. DESIGN:A prevalence study within a longitudinal cohort study. SETTING:The ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Yamada M,Sasaki H,Mimori Y,Kasagi F,Sudoh S,Ikeda J,Hosoda Y,Nakamura S,Kodama K

    更新日期:1999-02-01 00:00:00

  • Incorporation of gerontology into medical education.

    abstract::Despite the increasing importance of gerontology to medical practice, it has been difficult to incorporate it into the curriculum of most medical schools. The aim of this project was to explore the feasibility of introducing gerontology into medical education by utilizing the framework of an existing clinical program....

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Hall GG,Starkman MN

    更新日期:1979-08-01 00:00:00

  • Patterns of diagnoses, comorbidities, and treatment in late-middle-aged and older affective disorder patients: comparison of mental health and medical sectors.

    abstract:OBJECTIVE:To compare the diagnoses, psychiatric and medical comorbidities, and prior and current treatment received by late-middle-aged and older affective disorder patients in mental health and medical service settings and to identify predictors of these patients' length of inpatient care. DESIGN:Department of Vetera...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Moos RH,Mertens JR

    更新日期:1996-06-01 00:00:00

  • Nosocomial pneumococcal pneumonia in the elderly.

    abstract::Among 35 elderly patients with transtracheal aspirate (TTA)-documented nosocomial pneumonia, 7 (20 percent) had Streptococcus pneumoniae infection. Clinical and epidemiologic data are reported on these 7 patients and on 2 others with nosocomial pneumococcal pneumonia documented by bacteremia. Malignancy and chronic ob...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Berk SL,Gallemore GM,Smith JK

    更新日期:1981-07-01 00:00:00