Determinants of Cognitive Impairment Among Geriatrics

Determinants of Cognitive Impairment Among Geriatrics in an Indonesian Old Age Home

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03669536

Enrollment

Registered

2018-09-13

Start date

2017-08-01

Completion date

2018-12-31

Last updated

2018-09-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Central Obesity, Cognitive Impairment, Dementia, Depression, Diabetes, Dyslipidemias, Hearing Impairment, Hypertension, Mobility Limitation, Obesity, Osteoarthritis, Vision Impairment and Blindness

Keywords

cognitive impairment, dementia, geriatrics

Brief summary

This study aims to explore the determinants of cognitive impairment among Indonesian geriatrics in an Old Age Home.

Detailed description

Elderly patients (≥ 60 years of age) are enrolled in this study. The inclusion criteria are patients which have consented to take part in the study. Data such as age, ethnic, education, BMI, waist and hip circumference, blood pressure, hearing impairment, vision impairment, depression, sleep disorder, mobility, hemoglobin levels, glycemic and lipid profile, as well as comorbidities and drugs used were collected from the patients' medical records, laboratory tests and through examination by trained examiners. Cognition was determined through a combination of several psychiatric examinations using validated instruments namely - MiniCog, Clock Drawing Test, Three Word Recall, Alzheimer's Disease-8 Indonesia (AD-8 INA) Questionnaire and Short Portable Mental Status Questionnaire (SPMSQ).

Interventions

None listed

Study design

Observational model

ECOLOGIC_OR_COMMUNITY

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

60 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

* Must be classified as geriatric according to Indonesian Laws (≥ 60 years of age). * Consented to participate in this study.

Exclusion criteria

* Uncooperative. * Incomplete records.

Design outcomes

Primary

Measure	Time frame	Description
MiniCog	Through study completion, an average of 6 months	Based on psychiatric examination using the Indonesian MiniCog Questionnaire to determine patient's cognitive status. A MiniCog result below 5 implies mild cognitive impairment, while a result below 3 implies dementia.
Clock Drawing Test (CDT)	Through study completion, an average of 6 months	Based on psychiatric examination using the Indonesian Clock Drawing Test to determine patient's cognitive status. A Clock Drawing Test score below 4 implies mild cognitive impairment.
Three Word Recall	Through study completion, an average of 6 months	Based on psychiatric examination using the Indonesian Three Word Recall Test to determine patient's cognitive status with resulting score from 0-3. Zero means no words can be recalled by the patient.
Alzheimer Disease-8 Indonesia Questionnaire (AD-8 INA)	Through study completion, an average of 6 months	Based on interviews with caretakers using the AD-8 INA Questionnaire to determine patient's cognitive status. An AD-8 INA score of 2 or more implies mild cognitive impairment.
Short Portable Mental Status Questionnaire (SPMSQ)	Through study completion, an average of 6 months	Based on psychiatric examination using the Indonesian SPMSQ to determine patient's cognitive status. An SPMSQ test in which the patient demonstrated more than 3 mistakes implies mild cognitive impairment, whereas a mistake of greater than 8 implies dementia.

Other

Measure	Time frame	Description
Sleep Disorder	Through study completion, an average of 6 months	Based on psychiatric examination, Indonesian Validated Insomnia Severity Index and Medical Records. A score of 8-14 implies mild insomnia, 15-21 intermediate insomnia and 22-28 severe insomnia.
Hypertension	Through study completion, an average of 6 months	Based on blood pressure results and history of hypertension from medical records.
Hearing Impairment	Through study completion, an average of 6 months	Based on physical examination using the Whispered Sound Test from 6 meters and tuning fork test as well as history of hearing impairment from medical records.
Anemia	Through study completion, an average of 6 months	Based on hemoglobin results.
Dyslipidemia	Through study completion, an average of 6 months	Based on lipid profile results and history of dyslipidemia from medical records.
Vision Impairment	Through study completion, an average of 6 months	Based on physical examination using the Snellen Chart and history of vision impairment from medical records.
Diabetes	Through study completion, an average of 6 months	Based on glycemic profile results and history of diabetes from medical records. Patients are classified as diabetic in accordance to the Indonesian Society of Endocrinology and American Diabetic Association criteria.
Mobility	Through study completion, an average of 6 months	Based on physical examination, Indonesian Validated Lequesne Index, Barthel Acitivities of Daily Living (ADL), Instrumental ADL and history of arthritis or other pathologies affecting mobility from medical records.
Depression	Through study completion, an average of 6 months	Based on psychiatric examination, Indonesian Validated Geriatric Depression Scale and Medical Records. A score of 5-9 implies a likelihood of depression, while a score of greater than 10 implies depression.

Countries

Indonesia

Outcome results