Cognitive testing in older primary care patients: A cluster-randomized trial.
Cognitive testing in older primary care patients: A cluster-randomized trial.
复制标题
老年初级保健患者的认知测试：整群随机试验。
DOI：
10.1016/j.dadm.2015.06.009
复制
发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Saxton,Judith
中科院分区：
文献类型：
--
作者：
Fowler,NicoleR;Morrow,Lisa;Chiappetta,Laurel;Snitz,Beth;Huber,Kimberly;Rodriguez,Eric;Saxton,Judith
IntroductionThis study investigated whether neuropsychological testing in primary care（PC）offices altered the rate of CI progress.MethodsThis 24 months，cluster-randomized study includes 11 community-based PC practices randomized to either treatment as usual（5 practices）or cognitive report（CR; 6 practices）arms.从2005年至2008年，533例患者年龄≥65岁，没有诊断CI招募; 423人重新测试24个月后basel.ResultsCR医生显着更有可能订购认知相关的干预措施（P= .02），文件讨论认知（P= .003），并下令血液检查，以排除可逆CI（P= .002）。在随访时，更多的CR患者在他们的图表中列出了认知药物（P= .02）。There was no difference in the rate of cognitive decline between the groups.DiscussionProviding cognitive information to physician results in higher rates of physician initiated interventions for patients with CI.
IntroductionThis study investigated whether neuropsychological testing in primary care (PC) offices altered physician-initiated interventions related to cognitive impairment (CI) or slowed the rate of CI progression.MethodsThis 24-month, cluster-randomized study included 11 community-based PC practices randomized to either treatment as usual (5 practices) or cognitive report (CR; 6 practices) arms. From 2005 to 2008, 533 patients aged ≥65 years and without a diagnosis of CI were recruited; 423 were retested 24 months after baseline.ResultsCR physicians were significantly more likely to order cognitive-related interventions (P= .02), document discussions about cognition (P= .003), and order blood tests to rule out reversible CI (P= .002). At follow-up, significantly more CR patients had a medication for cognition listed in their chart (P= .02). There was no difference in the rate of cognitive decline between the groups.DiscussionProviding cognitive information to physicians resulted in higher rates of physician-initiated interventions for patients with CI.