Browsing by Author "Aki, Ozlem Erden"
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Item Depression, Anxiety, Burden and Coping Mechanisms in The Family Caregivers of Alzheimer's Dementia Patients in A Turkish Sample(2014) Aki, Ozlem Erden; Kaya, Yildiz; Isikli, Sedat; Kibaroglu, Seda; Ciftci, Eda Derle; Can, Ufuk Anik; https://orcid.org/0000-0002-3964-268X; https://orcid.org/0000-0003-2122-1016; AAJ-2956-2021; AAI-8830-2021Item The Prevalence and Recognition Rate of Delirium in Hospitalized Elderly Patients in Turkey(2014) Aki, Ozlem Erden; Derle, Eda; Karagol, Arda; Turkyilmaz, Canan; Taskintuna, Nilgun; https://orcid.org/0000-0003-2122-1016; 24236908; AAI-8830-2021Objective. Delirium is frequently observed, but generally under recognized in elderly hospitalized patients. The aims of this study were to determine the prevalence of delirium in elderly patients hospitalized at a university hospital, and to determine the recognition rate by hospital staff during hospitalization. Methods. The study included 108 consecutive patients aged >= 65 years that were hospitalized in the medical and surgical inpatient departments at Baskent University Hospital, Ankara, Turkey. All the patients were evaluated using the Mini Mental State Examination (MMSE) upon admission and Confusion Assessment Method (CAM) on a daily basis during hospitalization. Written documents and consultation requests from psychiatry and/or neurology departments were reviewed for recognition of delirium by hospital staff. Results. Among the 108 patients in the study, delirium was noted in 18 (16.7%) during their hospital stay. Consultation from psychiatry or neurology departments was requested for 5 of the 18 patients, only 1 with a delirium diagnosis, indicating that 17 of the cases (94.4%) were not recognized by their primary physicians. Conclusions. The delirium non-recognition rate in elderly hospitalized patients was very high. We think that hospital staff must be trained to recognize the symptoms of delirium and identify high-risk patients.Item Validation of Montreal Cognitive Assessment and Discriminant Power of Montreal Cognitive Assessment Subtests in Patients With Mild Cognitive Impairment and Alzheimer Dementia in Turkish Population(2014) Kaya, Yildiz; Aki, Ozlem Erden; Can, Ufuk Anik; Derle, Eda; Kibaroglu, Seda; Barak, Anil; https://orcid.org/0000-0001-8689-417X; https://orcid.org/0000-0003-2122-1016; https://orcid.org/0000-0002-3964-268X; 24578463; AAJ-2999-2021; AAI-8830-2021; AAJ-2956-2021Montreal Cognitive Assessment (MoCA) is a new cognitive tool developed for screening mild cognitive impairment (MCI). The authors examined validity of MoCA and discriminating power of subtests in a Turkish population comprising of 474 participants (246 healthy controls, 114 subjects with MCI and 114 subjects with dementia). The ANCOVAs showed that age and education had a main effect on MoCA scores. Cut scores were computed according to different education levels. The overall cut-off values for MCI and dementia were found to be lower compared to western studies. MoCA was found to have good internal consistency. The subtests most useful in discriminating MCI from healthy controls were recall, visuospatial and language, while in discriminating dementia from MCI were visuospatial, orientation and attention subtests. The results demonstrated that MoCA is a valid and reliable instrument in screening MCI, and compared with the MMSE, MoCA was proved to have superior sensitivity and specificity in detecting MCI.