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












  • 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

  • Optimizing coding and reimbursement to improve management of Alzheimer's disease and related dementias.

    abstract::The objectives of this study were to review the diagnostic, International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM), diagnosis related groups (DRGs), and common procedural terminology (CPT) coding and reimbursement issues (including Medicare Part B reimbursement for physicians) encounte...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审


    authors: Fillit H,Geldmacher DS,Welter RT,Maslow K,Fraser M

    更新日期:2002-11-01 00:00:00

  • Urban-rural differences in a memory disorders clinical population.

    abstract:OBJECTIVES:To compare patient characteristics and family perceptions of patient function at one urban and one rural memory disorders clinic. DESIGN:Secondary, cross-sectional data analyses of an extant clinical database. SETTING/PARTICIPANTS:First time visits (n = 956) at two memory disorders clinics. MEASUREMENTS:P...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Wackerbarth SB,Johnson MM,Markesbery WR,Smith CD

    更新日期:2001-05-01 00:00:00

  • Medication safety in older adults: home-based practice patterns.

    abstract:OBJECTIVES:To identify the current state of medication-taking practices of community-dwelling older adults on high-risk medications. DESIGN:Telephone survey of older adults filling prescriptions for warfarin, digoxin, or phenytoin from May 2, 2002, through June 30, 2003. SETTING:The Pennsylvania Pharmacy Assistance C...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Metlay JP,Cohen A,Polsky D,Kimmel SE,Koppel R,Hennessy S

    更新日期:2005-06-01 00:00:00

  • Patterns and Predictors of Frailty Transitions in Older Men: The Osteoporotic Fractures in Men Study.

    abstract:OBJECTIVES:To describe the natural history of frailty transitions in a large cohort of community-dwelling older men and identify predictors associated with progression to or improvement from states of greater frailty. DESIGN:Prospective cohort study. SETTING:Six U.S. sites. PARTICIPANTS:Community-dwelling men aged 6...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Pollack LR,Litwack-Harrison S,Cawthon PM,Ensrud K,Lane NE,Barrett-Connor E,Dam TT

    更新日期:2017-11-01 00:00:00

  • Patient factors associated with breast cancer screening among older women.

    abstract:OBJECTIVES:To identify patient factors that influence physicians' decisions to recommend screening mammograms for older women. DESIGN:A cross-sectional survey including clinical case vignettes. PARTICIPANTS:Random sample of Massachusetts internists, obstetrician/gynecologists, family/general practice physicians, and ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Marwill SL,Freund KM,Barry PP

    更新日期:1996-10-01 00:00:00

  • Senior PharmAssist: Less Hospital Use with Enrollment in an Innovative Community-Based Program.

    abstract:OBJECTIVES:To evaluate changes in acute health services use of Senior PharmAssist participants. DESIGN:Retrospective analysis. SETTING:Community-based, nonprofit program in Durham County, North Carolina. PARTICIPANTS:Adults aged 60 and older with income of 200% of the federal poverty level or less who enrolled in th...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Herity LB,Upchurch G,Schenck AP

    更新日期:2018-12-01 00:00:00

  • The Prevention of Infections in Older Adults: Vaccination.

    abstract::All living beings are at risk for experiencing infections; humans are no exception. The prestige and credibility of modern medicine is built in large part on achievements in preventing and treating infectious diseases. For most of human history, there was little that could be done to prevent and treat infections. Mill...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审


    authors: Coll PP,Costello VW,Kuchel GA,Bartley J,McElhaney JE

    更新日期:2020-01-01 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

  • Embedded Pragmatic Trials in Dementia Care: Realizing the Vision of the NIA IMPACT Collaboratory.

    abstract::Close to 6 million Americans have Alzheimer's disease (AD) or Alzheimer's disease and related dementia (AD/ADRD). These high-need, high-cost patients are vulnerable to receiving poor quality uncoordinated care, ultimately leading to adverse health outcomes, poor quality of life, and misuse of resources. Improving the ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Mitchell SL,Mor V,Harrison J,McCarthy EP

    更新日期:2020-07-01 00:00:00

  • Practical problems with medication use that older people experience: a qualitative study.

    abstract:OBJECTIVES:To identify the practical problems that older people experience with the daily use of their medicines and their management strategies to address these problems and to determine the potential clinical relevance thereof. DESIGN:Qualitative study with semistructured face-to-face interviews. SETTING:A communit...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Notenboom K,Beers E,van Riet-Nales DA,Egberts TC,Leufkens HG,Jansen PA,Bouvy ML

    更新日期:2014-12-01 00:00:00

  • A Novel Intervention to Identify and Report Suspected Abuse in Older, Primary Care Patients.

    abstract:BACKGROUND:Previous research has identified several barriers faced by clinicians in detecting and reporting elder abuse, such as lack of knowledge about the process to report suspected cases of abuse and lack of access to experts to consult with. A novel intervention was designed and tested that embedded two Adult Prot...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Ejaz FK,Rose M,Reynolds C,Bingle C,Billa D,Kirsch R

    更新日期:2020-08-01 00:00:00

  • Retrospective Evaluation of a Restrictive Transfusion Strategy in Older Adults with Hip Fracture.

    abstract:OBJECTIVES:To compare the association between a restrictive transfusion strategy and cardiovascular complications during hospitalization for hip fracture with the association between a liberal transfusion strategy and cardiovascular complications, accounting for all transfusions from the emergency department to postacu...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Zerah L,Dourthe L,Cohen-Bittan J,Verny M,Raux M,Mézière A,Khiami F,Tourette C,Neri C,Le Manach Y,Riou B,Vallet H,Boddaert J

    更新日期:2018-07-01 00:00:00

  • Effects of dehydroepiandrosterone supplementation on cognitive function and quality of life: the DHEA and Well-Ness (DAWN) Trial.

    abstract:OBJECTIVES:To examine the effects of dehydroepiandrosterone (DHEA) supplementation on cognitive function and quality of life in healthy older adults. DESIGN:Double-blind, randomized, controlled clinical trial. SETTING:Clinical research facility. PARTICIPANTS:One hundred ten men and 115 women aged 55 to 85 (mean +/- ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验


    authors: Kritz-Silverstein D,von Mühlen D,Laughlin GA,Bettencourt R

    更新日期:2008-07-01 00:00:00

  • Resident behavior and staff distress in the nursing home.

    abstract::Newly enacted Federal regulations have focused increasing attention on the use of psychoactive drugs and on the treatment of disruptive behavior in the nursing home. To study the interaction between resident behavior and staff distress in nursing homes, we measured the frequency of seven types of behavior problems amo...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Everitt DE,Fields DR,Soumerai SS,Avorn J

    更新日期:1991-08-01 00:00:00

  • Apolipoprotein E epsilon4, Alzheimer's disease, and cognitive performance in elderly Mexican Mestizos.

    abstract:OBJECTIVES:To determine the relationship between apolipoprotein E (APOE) epsilon4 and Alzheimer's disease (AD) in the Mexican Mestizo population, as well as its effects on the cognitive profile of AD and elderly Mestizos without dementia. DESIGN:Cross-sectional analysis of a cohort study. SETTING:Evaluations were con...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Villalpando-Berumen JM,Mejia-Arango S,Aguilar-Salinas CA,Ordonez-Sanchez ML,Gutierrez-Robledo LM

    更新日期:2008-04-01 00:00:00

  • Racial Disparities in Hospice Outcomes: A Race or Hospice-Level Effect?

    abstract:OBJECTIVES:To determine whether there is racial variation in hospice enrollees in rates of hospitalization and hospice disenrollment and, if so, whether systematic differences in hospice provider patterns explain the variation. DESIGN:Longitudinal cohort study. SETTING:Hospice. PARTICIPANTS:Medicare beneficiaries (N...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Rizzuto J,Aldridge MD

    更新日期:2018-02-01 00:00:00

  • Poor outcome of on-site CPR in a multi-level geriatric facility: three and a half years experience at the Baycrest Centre for Geriatric Care.

    abstract::Our objective was to determine the outcome of onsite CPR in elderly patients receiving institutional care who had access to 24-hour on-site full ACLS capability. We used a retrospective chart and CPR protocol review of all patients who received CPR during the study period; these were patients or residents in a multi-l...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Gordon M,Cheung M

    更新日期:1993-02-01 00:00:00

  • Effect of Obesity on Postacute Outcomes of Skilled Nursing Facility Residents with Hip Fracture.

    abstract:OBJECTIVES:To examine the effect of obesity (body mass index (BMI)≥30.0 kg/m2 ) on outcomes of older adults admitted to skilled nursing facilities (SNFs) for hip fracture postacute care (PAC). DESIGN:Retrospective cohort study. SETTING:U.S. Medicare- and Medicaid-certified SNFs from 2008 to 2015. PARTICIPANTS:Medica...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Kosar CM,Thomas KS,Gozalo PL,Ogarek JA,Mor V

    更新日期:2018-07-01 00:00:00

  • Long-term variability of inflammatory markers and associated factors in a population-based cohort.

    abstract:OBJECTIVES:To investigate long-term variability in serum high-sensitivity C-reactive protein (CRP) and interleukin-6 (IL-6) and to determine associated risk factors for high-risk inflammatory profiles. DESIGN:Prospective population-based cohort study. PARTICIPANTS:Participants (N = 1,443) of the Epidemiology of Heari...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Nash SD,Cruickshanks KJ,Klein R,Klein BE,Nieto FJ,Chappell R,Schubert CR,Tsai MY

    更新日期:2013-08-01 00:00:00

  • Physical Activity and Amyloid-β Brain Levels in Elderly Adults with Intact Cognition and Mild Cognitive Impairment.

    abstract:OBJECTIVES:To examine the associations between amyloid-β brain deposition and physical activity (PA) in elderly adults without dementia and to investigate whether the association has a dose-response relationship. DESIGN:Cross-sectional study. SETTING:French community-dwelling people. PARTICIPANTS:Elderly adults with...

    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: de Souto Barreto P,Andrieu S,Payoux P,Demougeot L,Rolland Y,Vellas B,Multidomain Alzheimer Preventive Trial\/Data Sharing Alzheimer Study Group.

    更新日期:2015-08-01 00:00:00

  • A longitudinal study of impaired glucose tolerance and diabetes mellitus in the aged.

    abstract:UNLABELLED:This longitudinal study of glucose tolerance in the residents of a Jewish home for the aged (JHA) is now in its 25th year. Of 1,177 supposedly nondiabetic persons screened on admission from 1965 to 1986, 22.5% had impaired glucose tolerance (IGT), reflecting its undiagnosed prevalence among the Jewish elderl...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Grobin W

    更新日期:1989-12-01 00:00:00

  • Rating the importance of nursing home residents' quality of life.

    abstract:OBJECTIVES:To assess how various stakeholders involved with nursing home care rate the importance of various quality-of-life (QoL) items for hypothetical residents with varying types of impairment. DESIGN:A community-based exploratory description of a convenience sample. SETTING:Eleven nursing homes in Florida, New J...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究


    authors: Kane RL,Rockwood T,Hyer K,Desjardins K,Brassard A,Gessert C,Kane R

    更新日期:2005-12-01 00:00:00

  • Elder-Friendly Emergency Department: Development and Validation of a Quality Assessment Tool.

    abstract:OBJECTIVES:To develop and validate a comprehensive quality assessment tool for emergency department (ED) geriatric care. DESIGN:Four-step study: (1) Content development of tool by a multidisciplinary panel, (2) survey of ED lead physicians and nurses, (3) development of subscales using principal component analysis and...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: McCusker J,Minh Vu TT,Veillette N,Cossette S,Vadeboncoeur A,Ciampi A,Cetin-Sahin D,Belzile E

    更新日期:2018-02-01 00:00:00

  • Evaluation of Simulated Presence: a personalized approach to enhance well-being in persons with Alzheimer's disease.

    abstract:OBJECTIVE:To evaluate the efficacy of Simulated Presence, a personalized approach to enhance well-being among nursing home residents with Alzheimer's disease and related dementia's (ADRD). DESIGN:Latin-Square, double blinded, 3-factor design with restrictive randomization of three treatments (the study intervention, a...

    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: Camberg L,Woods P,Ooi WL,Hurley A,Volicer L,Ashley J,Odenheimer G,McIntyre K

    更新日期:1999-04-01 00:00:00

  • Findings and risk factors of early mortality of endoscopic retrograde cholangiopancreatography in different cohorts of elderly patients.

    abstract:OBJECTIVES:To analyze experience of endoscopic retrograde cholangiopancreatography (ERCP) in patients with of different age cohorts and discuss the risk factors of early mortality after ERCP. DESIGN:Retrospective study. SETTING:Tertiary care medical center. PARTICIPANTS:Two hundred sixty-four patients with pancreato...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Hu KC,Chang WH,Chu CH,Wang HY,Lin SC,Wang TE,Shih SC

    更新日期:2009-10-01 00:00:00

  • Brophy v New England Sinai Hospital, Inc. Brief amicus curiae, Society for the Right to Die, Inc. on behalf of appellant.

    abstract::On September 11, 1986, the Supreme Judicial Court of Massachusetts, in a 4-3 decision, authorized removal of the artificial feeding tube. It held that the "substituted judgment" of an incompetent person in a persistent vegetative state to refuse artificially administered sustenance must be honored. The Court also refu...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章



    更新日期:1987-07-01 00:00:00

  • Racial and ethnic disparities in indicators of physical health status: do they still exist throughout late life?

    abstract::Physical health problems become more common as people age and are associated with a great deal of disability. Although racial and ethnic disparities have been reported in physical health, little is known about whether these disparities remain in the latest part of older adulthood. Accordingly, the current study sought...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: August KJ,Sorkin DH

    更新日期:2010-10-01 00:00:00

  • Associations between observed in-home behaviors and self-reported low mood in community-dwelling older adults.

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    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Thielke SM,Mattek NC,Hayes TL,Dodge HH,Quiñones AR,Austin D,Petersen J,Kaye JA

    更新日期:2014-04-01 00:00:00

  • Hospital use by the extremely elderly (nonagenarians): a two-year study.

    abstract::Eighty-seven community-dwelling nonagenarians provided with extensive medical and social services as needed were followed for two years. Fifty-one subjects were admitted to an acute care hospital at least once. Total durations of hospitalization for those who required it averaged 44 days per individual over the two ye...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Patterson C,Crescenzi C,Steel K

    更新日期:1984-05-01 00:00:00