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The cognitive abilities screening instrument (CASI): data from a cohort of 2524 cognitively intact elderly

✍ Scribed by Susan M. McCurry; Steven D. Edland; Linda Teri; Walter A. Kukull; James D. Bowen; Wayne C. McCormick; Eric B. Larson


Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
102 KB
Volume
14
Category
Article
ISSN
0885-6230

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✦ Synopsis


Objectives:

To describe the effects of age and education for the cognitive abilities screening instrument (casi), a 25-item test of cognitive function.

Design:

Cross-sectional descriptive study of the initial enrollment in a community-based prospective cohort study.

Participants:

A total of 2524 cognitively intact older adults over age 65 who were members of a major health maintenance organization, and who consented to participate in a longitudinal study.

Measurements:

Summary scores for the casi are given in the form of mean, median and percentile distributions specific for age and educational level.

Results:

Based upon maximum likelihood analyses, age and education were significant (p<0.0001) predictors of total casi score. increased age and lower education were associated with a lower casi score, as well as an increased spread in score distribution. gender was also significantly related (p<0.01) to total casi, with women having a slightly higher distribution of scores. mean total scores ranged from casi=82.2 (sd=9.0) in subjects aged 90-95 who had less than a high school degree to casi=94.8 (sd=3. 8) in subjects aged 65-69 with at least a high school education.

Conclusions:

Like most cognitive screening instruments, performance on the casi in non-demented persons is influenced by age and education. the reference values for 5-year age categories described in this article should be useful for clinicians and research investigators when using the casi as a measure of cognitive function.