Early Diagnosis of Cognitive Impairment in the Ageing Population: Determinants and Barriers.
Background: Diagnosis of cognitive impairment at an early stage is vital to the management of dementias like Alzheimer's disease. Recent studies have proven the benefits of multimodal interventions in patients with early stages of cognitive impairment. In this study, we evaluate the determinants of...
| Publicado en: | Indian Journal of Community Medicine Vol. 51; no. 1; pp. 52 - 58 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wolters Kluwer India Pvt Ltd
Jan/Feb2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191434160&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191434160 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09700218 1CQJ jtl: Indian Journal of Community Medicine issn: 09700218 maglogo: N pubinfo: dt: Jan/Feb2026 vid: 51 iid: 1 pid: 16919 pub: Wolters Kluwer India Pvt Ltd artinfo: ui: 191434160 191434160 191434160 10.4103/ijcm.ijcm_402_24 191434160 ppf: 52 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Early Diagnosis of Cognitive Impairment in the Ageing Population: Determinants and Barriers. aug: au: Kumar, Pramod Waris, Mujtaba Rao, Abhijith R Bajpai, Swati Soni, Nidhi Chakrawarty, Avinash Chatterjee, Prasun Dey, Aparajit Ballav affil: Department of Geriatric Medicine, All India Institute of Medical Sciences, New Delhi, India sug: subj: Cognition Disorders Diagnosis Cognition Disorders Diagnosis Cognition Disorders Risk Factors Early Diagnosis Risk Assessment Human Cross Sectional Studies Retrospective Design Descriptive Statistics Male Female Middle Age Aged Psychological Tests Diagnosis, Brain Magnetic Resonance Imaging Chi Square Test Fisher's Exact Test Multivariate Statistics Regression Odds Ratio Confidence Intervals India Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Diagnosis of cognitive impairment at an early stage is vital to the management of dementias like Alzheimer's disease. Recent studies have proven the benefits of multimodal interventions in patients with early stages of cognitive impairment. In this study, we evaluate the determinants of presentation of cognitive impairment at early and late stages in a tertiary center memory clinic. Study Design: A cross-sectional study. Method: A total of 438 patients presenting with cognitive impairment were evaluated in the memory clinic. After ruling out reversible causes and pseudodementia, 294 patients were included for final analysis and classified as those with early disease (i.e., Subjective Cognitive Decline [SCD] and Mild Cognitive Impairment [MCI]) or major neurocognitive decline [MNCD]. A retrospective data analysis was done to evaluate the association of baseline characteristics (age, sex, education, region, occupation, and cardiovascular diseases) with the stage of presentation of cognitive decline. Result: Patients presenting with an early-stage cognitive impairment (SCD and MCI) constituted 65% and MNCD was identified in 35% of the population. Demographic factors like female sex [OR: 1.99, 95% CI: 1.10, 3.56] and lower education [OR: 1.99, 95% CI: 1.15, 3.42] were significantly associated with late presentation MNCD. Conclusion: Female patients and those with lower education are vulnerable to late presentation and can be an important target population for dementia screening. Increasing dementia awareness and care at the primary healthcare level may help in the early diagnosis and preventive interventions of dementia. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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