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Subjective memory complaints in the elderly: a sign of cognitive impairment?

OBJECTIVES:

Cognitive impairment in the elderly is frequently overlooked by general practitioners. The use of subjective memory complaints as a sign of cognitive impairment by the general practice is controversial.

METHODS:

Elderly individuals (N = 248) were asked whether they had memory complaints and underwent a cognitive impairment screening. Subjects classified as exhibiting “probable cognitive impairment” underwent a complete cognitive evaluation, and the final diagnoses were established by expert consensus.

RESULTS:

A total of 147 patients presented with subjective memory complaints, and 43 were further classified as demented or “cognitively impaired not demented”. Subjective memory complaints presented a sensitivity of 100% and a negative predictive value of 100%.

CONCLUSION:

Subjective memory complaints are an indicator for cognitive impairment screening.

General Practice; Primary Health Care; Cognitive Disorders; Age-Related Memory Disorder


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