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Diagnosis of dementia 3—use of investigations. A survey of current consultant practice, review of the literature and implications for audit

✍ Scribed by Dr. E. J. Byrne; C. W. Smith; T. Arie; J. Lilley

Publisher
John Wiley and Sons
Year
1992
Tongue
English
Weight
1010 KB
Volume
7
Category
Article
ISSN
0885-6230

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✦ Synopsis

The use of a screening battery of investigations in the assessment of the patient with the dementia syndrome has been recommended by many authorities. A postal survey of hospital specialists showed that the age of the patient influenced their routine use of such batteries. In patients aged < 75 years, their use of investigations closely resembled 'recommended' batteries; patients aged >75 years were much less likely to have a routine screen of investigations. The use of CT scan was much less influenced by the age of the patient. A critical appraisal of the use of investigations in the patient with the dementia syndrome concludes that few of the 'recommended' tests will identify the cause of dementia, but will identify conditions which aggravate cognitive impairment, and that further information on the yield of tests, costs of tests, and the results of treating aggravating factors is urgently needed. KEY woms-Diagnosis, dementia, investigations, audit.

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✍ C. W. Smith; E. J. Byrne; T. Arie; J. M. Lilley 📂 Article 📅 1992 🏛 John Wiley and Sons 🌐 English ⚖ 623 KB

Inaccuracy in the diagnosis of the dementia syndrome is widely reported. In a postal survey which asked hospital specialists about their use of diagnostic criteria and explored their knowledge of the aetiology of the syndrome, clear differences between research findings and clinical practice emerged