Cover Image

Early Dementia Questionnaire (EDQ): A new screening instrument for early dementia in primary care practice

Background: Worldwide, the population is ageing, resulting in an associated increase in dementia prevalence. Forgetfulness in elderly people is often perceived as normal in some local cultures and thus, the early detection of dementia in primary care requires detection of symptoms other than memory...

Full description

Saved in:
Bibliographic Details
Main Authors: Zurraini, Arabi, Noor Azah, Aziz, Aznida Firzah, Abdul Aziz, Rosdinom, Razali, Sharifa Ezat, Wan Puteh
Format: E-Article
Language:English
Published: BioMed Central 2013
Subjects:
RA Public aspects of medicine
RC Internal medicine
Online Access:http://ir.unimas.my/id/eprint/16353/1/Early%20Dementia%20Questionnaire%20%28EDQ%29%20%28abstrak%29.pdf
http://ir.unimas.my/id/eprint/16353/
https://bmcfampract.biomedcentral.com/articles/10.1186/1471-2296-14-49
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.unimas.ir.16353
record_format eprints
spelling my.unimas.ir.163532017-05-22T06:27:12Z http://ir.unimas.my/id/eprint/16353/ Early Dementia Questionnaire (EDQ): A new screening instrument for early dementia in primary care practice Zurraini, Arabi Noor Azah, Aziz Aznida Firzah, Abdul Aziz Rosdinom, Razali Sharifa Ezat, Wan Puteh RA Public aspects of medicine RC Internal medicine Background: Worldwide, the population is ageing, resulting in an associated increase in dementia prevalence. Forgetfulness in elderly people is often perceived as normal in some local cultures and thus, the early detection of dementia in primary care requires detection of symptoms other than memory complaints.This study was conducted to screen elderly patients for early dementia in primary care using a newly developed Early Dementia Questionnaire (EDQ) and comparing it with a standard assessment tool, the Mini Mental State Examination (MMSE). Methods. A cross-sectional study was conducted on a group of elderly patients using convenience sampling of consecutive patients. Elderly depression was excluded using the Geriatric Depression Scale (GDS). Exclusion criteria also included known cases of dementia. Inclusion criteria included a score of 5 or less in GDS and the presence of a reliable informant. A face-to-face interview was done using the EDQ with the patient and informant to elicit symptoms of early dementia. If the informant was not present, a telephone interview was used instead. The patient was then assessed with the Mini Mental State Examination (MMSE) using a cut-off point of 21. Results: Prevalence of dementia among 155 subjects was 52.3% by EDQ and 15.5% by MMSE. The EDQ demonstrated a sensitivity of 79.2% with specificity of 52.7%. Positive predictive value (PPV) of EDQ was 23.5% with the negative predictive value (NPV) of 93.2%. The strongest predictor of possible early dementia was complaints of memory problems (OR 26.22; 95% CI 2.03-338.14) followed by complaints of concentration problems (OR 14.33; 95% CI 5.53-37.12), emotional problems (OR 4.75; 95% CI 1.64-13.81) and sleep disturbances (OR 3.14; 95% CI 1.15-8.56). Socio-demographic factors, medical problems and smoking status were not associated with possible dementia (p>0.05), despite that 60-70% of the elderly had chronic illnesses. Conclusion: The EDQ is a promising alternative to MMSE for screening of early dementia in primary care. BioMed Central 2013 E-Article PeerReviewed text en http://ir.unimas.my/id/eprint/16353/1/Early%20Dementia%20Questionnaire%20%28EDQ%29%20%28abstrak%29.pdf Zurraini, Arabi and Noor Azah, Aziz and Aznida Firzah, Abdul Aziz and Rosdinom, Razali and Sharifa Ezat, Wan Puteh (2013) Early Dementia Questionnaire (EDQ): A new screening instrument for early dementia in primary care practice. BMC Family Practice, 14. p. 49. ISSN 1471-2296 https://bmcfampract.biomedcentral.com/articles/10.1186/1471-2296-14-49
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic RA Public aspects of medicine
RC Internal medicine
spellingShingle RA Public aspects of medicine
RC Internal medicine
Zurraini, Arabi
Noor Azah, Aziz
Aznida Firzah, Abdul Aziz
Rosdinom, Razali
Sharifa Ezat, Wan Puteh
Early Dementia Questionnaire (EDQ): A new screening instrument for early dementia in primary care practice
description Background: Worldwide, the population is ageing, resulting in an associated increase in dementia prevalence. Forgetfulness in elderly people is often perceived as normal in some local cultures and thus, the early detection of dementia in primary care requires detection of symptoms other than memory complaints.This study was conducted to screen elderly patients for early dementia in primary care using a newly developed Early Dementia Questionnaire (EDQ) and comparing it with a standard assessment tool, the Mini Mental State Examination (MMSE). Methods. A cross-sectional study was conducted on a group of elderly patients using convenience sampling of consecutive patients. Elderly depression was excluded using the Geriatric Depression Scale (GDS). Exclusion criteria also included known cases of dementia. Inclusion criteria included a score of 5 or less in GDS and the presence of a reliable informant. A face-to-face interview was done using the EDQ with the patient and informant to elicit symptoms of early dementia. If the informant was not present, a telephone interview was used instead. The patient was then assessed with the Mini Mental State Examination (MMSE) using a cut-off point of 21. Results: Prevalence of dementia among 155 subjects was 52.3% by EDQ and 15.5% by MMSE. The EDQ demonstrated a sensitivity of 79.2% with specificity of 52.7%. Positive predictive value (PPV) of EDQ was 23.5% with the negative predictive value (NPV) of 93.2%. The strongest predictor of possible early dementia was complaints of memory problems (OR 26.22; 95% CI 2.03-338.14) followed by complaints of concentration problems (OR 14.33; 95% CI 5.53-37.12), emotional problems (OR 4.75; 95% CI 1.64-13.81) and sleep disturbances (OR 3.14; 95% CI 1.15-8.56). Socio-demographic factors, medical problems and smoking status were not associated with possible dementia (p>0.05), despite that 60-70% of the elderly had chronic illnesses. Conclusion: The EDQ is a promising alternative to MMSE for screening of early dementia in primary care.
format E-Article
author Zurraini, Arabi
Noor Azah, Aziz
Aznida Firzah, Abdul Aziz
Rosdinom, Razali
Sharifa Ezat, Wan Puteh
author_facet Zurraini, Arabi
Noor Azah, Aziz
Aznida Firzah, Abdul Aziz
Rosdinom, Razali
Sharifa Ezat, Wan Puteh
author_sort Zurraini, Arabi
title Early Dementia Questionnaire (EDQ): A new screening instrument for early dementia in primary care practice
title_short Early Dementia Questionnaire (EDQ): A new screening instrument for early dementia in primary care practice
title_full Early Dementia Questionnaire (EDQ): A new screening instrument for early dementia in primary care practice
title_fullStr Early Dementia Questionnaire (EDQ): A new screening instrument for early dementia in primary care practice
title_full_unstemmed Early Dementia Questionnaire (EDQ): A new screening instrument for early dementia in primary care practice
title_sort early dementia questionnaire (edq): a new screening instrument for early dementia in primary care practice
publisher BioMed Central
publishDate 2013
url http://ir.unimas.my/id/eprint/16353/1/Early%20Dementia%20Questionnaire%20%28EDQ%29%20%28abstrak%29.pdf
http://ir.unimas.my/id/eprint/16353/
https://bmcfampract.biomedcentral.com/articles/10.1186/1471-2296-14-49
_version_ 1644512354441887744
score 13.211869

Similar Items