Determinants of Cognitive Impairment Among Geriatrics

Study Overview
=================
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).

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

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

Participation Criteria
=================
Eligibility Criteria
-----------------
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.

Ages Eligible for Study
-----------------
Minimum Age: 60 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------
What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| MiniCog | 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. | Through study completion, an average of 6 months | 
| Clock Drawing Test (CDT) | 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. | Through study completion, an average of 6 months | 
| Three Word Recall | 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. | Through study completion, an average of 6 months | 
| Alzheimer Disease-8 Indonesia Questionnaire (AD-8 INA) | 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. | Through study completion, an average of 6 months | 
| Short Portable Mental Status Questionnaire (SPMSQ) | 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. | Through study completion, an average of 6 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
cognitive impairment, dementia, geriatrics