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. 2024;98(1):145-150.
doi: 10.3233/JAD-231295.

Early Detection Screening of Cognitive Decline in Patients Over 60 Years: ELDERCARE Study

Salvatore Putignano  1 , Luigi Forgione  1 , Mariano Fusco  2 , Attilio Giacummo  1 , Elisa Magli  2 , Saverio Marino  1 , Raffaele Marzano  2 , Daria Putignano  1 , Francesco Santamaria  1 , Micaela Spatarella  2 , Vincenzo Santagada  2
Affiliations

Early Detection Screening of Cognitive Decline in Patients Over 60 Years: ELDERCARE Study

Salvatore Putignano et al. J Alzheimers Dis. 2024.

Abstract

Background: Dementia is the fourth leading cause of death in people > 65 years old in western countries.

Objective: This cross-sectional assisted survey aimed to evaluate a multidisciplinary team approach of specialists of the Associazione Geriatri Extraospedalieri a favore di Anziani Svantaggiati and pharmacists to facilitate progress in the early identification and management of cognitive decline in patients > 60 years.

Methods: A multidisciplinary team conducted this cross-sectional assisted survey. Patients (>60 years) with independent and/or assisted walking, subjective memory impairment, mild cognitive impairment or mild Alzheimer's disease (AD) who regularly attended pharmacies underwent the survey. An internal medical examination, a cardiovascular visit, and a short neuropsychological evaluation were conducted for each patient. Demographic, anamnestic, and clinical data were collected anonymously.

Results: 279 eligible patients underwent the screening phase. 44% were overweight, 23% obese and 29% hypertensive. 62% of cases showed alterations of supra-aortic trunk with different percentages of stenosis. The neuropsychological evaluation highlighted that 67% of cases were normal according to age and education level, while 18% were in a state condition of cognitive frailty. Mild/moderate cognitive decline, or probably AD, was identified in 14% of cases.

Conclusions: A multidisciplinary collaboration between pharmacists and specialist medical doctors is essential in early identification of prodromal symptoms of cognitive impairment and AD. The Prompt detection of the condition in this group of patients allowed the specialists to recommend in-depth diagnostic tests and follow-up procedures to slow the course of the disease. This would give time to carry out adequate caregiver training.

Keywords: Alzheimer’s disease; cognitive dysfunction; elderly; frail elderly; observational study.

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Conflict of interest statement

The author reports no conflicts of interest in this work.

Figures

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Fig. 1
Project phases.
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Fig. 2
Patient enrolment.
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