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Scopolamine-induced cognitive impairment as a predictor of cognitive decline in healthy elderly volunteers: a 6-year follow-up

✍ Scribed by Andrew Barker; Roy Jones; Jackie Prior; Keith Wesnes


Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
102 KB
Volume
13
Category
Article
ISSN
0885-6230

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✦ Synopsis


Objective. To determine if scopolamine-induced cognitive impairment in healthy elderly people predicts cognitive decline 6 years later.

Design. Prospective cohort study. Setting. Elderly care research unit. Participants. Healthy elderly people who were part of a volunteer panel of research subjects. Interventions. Scopolamine 0.2 mg administered subcutaneously at baseline. Main outcome measures. Cognitive drug research computerized cognitive testing battery pre-and post-scopolamine, with repeat testing over 6 years later.

Main results. 16/24 subjects were retested. Although marked decrements in cognitive functioning were seen with scopolamine, there was little change in performance over 6 years, and no signi®cant association was seen between scopolamine-induced decrement and change over time.

Conclusions. The scopolamine challenge test is not likely to play a role in the preclinical diagnosis of Alzheimer's disease.