AB756        COMPUTERIZATION OF DEMENTIA SCREENING TOOL FOR PRIMARY CARE USE IN KOREA

Author(s): 
Cho BL, Kim SY, Yang DW, Choi JY
Department of FM, Seoul National University Hospital, Korea Seoul, SOUTH KOREA
Text: 
Background:
The development of therapeutic modalities which can slow the progression of dementia has made the early diagnosis or screening of dementia in the primary care very important. Computerization of a dementia screening tool which is easily utilisable and efficient in the primary care setting would be greatly helpful.
Aim: The efficiency and convenience in primary care use of 'newly developed computerized dementia screening tool' were investigated.
Methods: One neuropsychiatrist and two neurologists, one family physician developed the tool together. Patients aged over 55 who visited 3 primary care centres for health examination were tested the existing screening tools (7 MINUTE SCREEN-Korean version, MMSE-Korean version) and the computerized one. Suspected dementia group and 20% of randomly sampled normal group were tested the 'ADAS-Cog' as the golden standard.
Results: 160 subjects finished all the tests. 55 were men, average age was 67.2+9.1 (range: 55-87), under 7 years of education were 88 and over 7 years 72. The Pearson's correlation coefficients between the new tool and the existing two tools were 0.72, 0.66 and the agreement were 0.68, 0.64, respectively. With the 'ADAS-Cog' as golden standard, the sensitivity and specificity were 0.95 and 0.86, being higher than the existing methods. The computerized tool made the patient's completion rate higher and the data were able to be sent readily to the specialized treatment centre.
Conclusion: The newly developed computerized dementia screening tool would be a promising method which would take the place of existing dementia screening tools in this era of Internet and computers.