Visual-spatial perception: a comparison between instruments frequently used in the primary care setting and a computerized cognitive assessment battery

The development of screening instruments will help the primary care team to determine when further comprehensive cognitive assessment is necessary. A retrospective analysis based on medical records. Patients referred to a comprehensive geriatric assessment unit. Cognitive screening and assessment in...

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Bibliographic Details
Published in:Clinical interventions in aging 2015-01, Vol.10, p.1881-1886
Main Authors: Punchik, Boris, Shapovalov, Avital, Dwolatzky, Tzvi, Press, Yan
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
Alzheimer's disease
Archives & records
Cognition Disorders - diagnosis
Cognitive ability
cognitive assessment
Cognitive disorders
Comorbidity
Dementia
Dementia - diagnosis
Depression - diagnosis
Diagnosis
Family medical history
Female
Geriatric Assessment - methods
Geriatrics
Health sciences
Health services
Humans
Illnesses
Male
Medical records
Medical screening
Memory
Mental health screening
Methods
Middle Aged
mild cognitive impairment
Older people
Original Research
Patients
Physical Examination
Population
Primary care
Primary Health Care - methods
Psychiatric Status Rating Scales
Psychometrics
Questionnaires
Retrospective Studies
ROC Curve
screening tools
Socioeconomic Factors
Spatial Processing
Standard deviation
Validity
visual-spatial perception
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Summary:The development of screening instruments will help the primary care team to determine when further comprehensive cognitive assessment is necessary. A retrospective analysis based on medical records. Patients referred to a comprehensive geriatric assessment unit. Cognitive screening and assessment included visual-spatial components: the Mini Mental State Examination, the Clock Drawing Test, the Montreal Cognitive Assessment Test, and the Neurotrax (Mindstreams) computerized cognitive assessment battery. The average age of the 190 eligible patients was 81.09±5.42 years. Comparing the individual tests with that of the visual-spatial index of Neurotrax, we found the Trail Making B test to be most sensitive (72.4%) and the Cube Test to have the highest specificity (72.8%). A combination of tests resulted in higher sensitivity and lower specificity. The use of a combination of visual-spatial tests for screening in neurocognitive disorders should be evaluated in further prospective studies.
ISSN:1178-1998
1176-9092
1178-1998
DOI:10.2147/CIA.S92819