Evidence map›Paper›PMID 30188008›Full record

ArticleAustralasian journal on ageing2018

Diagnosis of dementia in residential aged care settings in Australia: An opportunity for improvements in quality of care?

Suzanne M Dyer, Emmanuel S Gnanamanickam, Enwu Liu, Craig Whitehead, Maria Crotty

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Australasian journal on ageing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Suzanne M DyerDepartment of Rehabilitation Aged and Extended Care, Flinders Medical Centre, Flinders University, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0003-2748-8547
Emmanuel S GnanamanickamDepartment of Rehabilitation Aged and Extended Care, Flinders Medical Centre, Flinders University, Adelaide, South Australia, Australia.
Enwu LiuDepartment of Rehabilitation Aged and Extended Care, Flinders Medical Centre, Flinders University, Adelaide, South Australia, Australia.
Craig WhiteheadDepartment of Rehabilitation Aged and Extended Care, Flinders Medical Centre, Flinders University, Adelaide, South Australia, Australia.
Maria CrottyDepartment of Rehabilitation Aged and Extended Care, Flinders Medical Centre, Flinders University, Adelaide, South Australia, Australia.
The University of Sydney · AU

Funding

NHMRC Cognitive Decline Partnership Centre GNT9100000
6 · The paper itself

Abstract

objectiveTo examine the cognitive status of Australians living in residential aged care facilities (RACFs) and whether or not a dementia diagnosis was recorded.

methodsCross-sectional study of 541 residents of 17 RACFs spanning four states. Examination of cognitive status by Psychogeriatric Assessment Scale Cognitive Impairment Scale (PAS-Cog) and dementia diagnosis from medical records.

resultsThe study population included 65% of residents with a diagnosis of dementia recorded, and 83% had a PAS-Cog score of four or more indicating likely cognitive impairment. More than 20% of participants had likely cognitive impairment (PAS-Cog ≥4), but no diagnosis of dementia; 11% had moderate-to-severe cognitive impairment (PAS-Cog ≥10) but no recorded dementia diagnosis.

conclusionThere may be a lack of formal diagnosis of dementia in Australian RACFs. Greater efforts from all health professionals to improve diagnosis in this setting are required. This is an opportunity for improved person-centred care and quality of care in this vulnerable population.

Indexed as

CognitionGeriatric AssessmentAgedAged, 80 and overAustraliaCross-Sectional StudiesDementiaFemaleGeriatricsHealth Care SurveysHomes for the AgedHumansMaleNursing HomesPredictive Value of TestsQuality Improvementcognitive dysfunctiondementiadiagnosisquality of health careresidential facilities

Identifiers

PMID30188008
PMCPMC6492076
OpenAlexW2890442886

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.