Diagnosis of dementia in primary care CODEX TEST

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Presentation transcript:

Diagnosis of dementia in primary care CODEX TEST A cross sectional propspective validation study of the cognitive disorders examination I have memory troubles. We’ll see that through the Codex test The Codex test Firts step 1-Mémorisation of 3 words : key, ball, lemon 2- a simplified clock-drawing test : 3-Repetition of the 3 words Second step : if necessary What is the name of the street, the name of the city, of the area, of the departement ? What stage are we ? Two indépendant experts Physicians codex results Psychologist’s cognitive evaluation : on DSM IV criteria 21 GP’s have tested 139 patients, average age 82 years Value of the test Codex in primary care Codex in memory center MMS in memory center Sensitivity 87 92 91 Specificity 72 85 70 Positive predictive value 53 89 54 Negative predictive value 94 86 93 Conclusion The Codex confirm to be rapid and reliable test to detect dementia in primary care Pr J.Belmin : Hopital Charles Foix, Ivry, France Dr D.Baruch, Dr P.Zerr : Université Paris Diderot, département de médecine générale, Paris