Cognitive measures lacking in EHR prior to dementia or Alzheimer's disease diagnosis.

ABSTRACT:

Introduction

The extent that cognitive measures are documented in electronic health records (EHR) is important for quality care and addressing disparities in timely diagnosis of dementia or Alzheimer's disease (AD).

Methods

Analysis of U.S. EHR data to describe the frequency and factors associated with cognitive measures prior to diagnosis of dementia (N = 111,125) or AD (N = 30,203).

Results

Only 11% of dementia patients and 24% of AD patients had a cognitive measure documented in the 5 years prior to diagnosis. Black race, older age, non-commercial health insurance, lower mean neighborhood income, greater in-patient stays, and fewer out-patient visits were associated with lacking cognitive measures.

Discussion

Extensive missing cognitive data and differences

SUBMITTER: Maserejian N 

PROVIDER: S-EPMC8359414 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature