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Dauphinot V, Boublay N, Moutet C, Achi S, Bathsavanis A, Krolak-Salmon P. Comparison of Instrumental Activities of Daily Living assessment by face-to-face or telephone interviews: a randomized, crossover study. Alzheimers Res Ther 2020; 12:24. [PMID: 32169093 PMCID: PMC7068883 DOI: 10.1186/s13195-020-00590-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Accepted: 02/26/2020] [Indexed: 11/29/2022]
Abstract
Background The functional autonomy assessment is essential to manage patients with a neurodegenerative disease, but its evaluation is not always possible during a consultation. To optimize ambulatory autonomy assessment, we compared the Lawton Instrumental Activities of Daily Living (IADL) questionnaire collected by telephone and face-to-face interviews. Methods A randomized, crossover study was carried out among patients attending a memory clinic (MC). The IADL questionnaire was collected for patients during telephone and face-to-face interviews between nurses and patients’ caregivers. The agreement between the two methods was measured using the proportion of participants giving the same response, Cohen’s kappa, intraclass correlation (ICC) coefficient, and Bland and Altman method. The associations between patients’ characteristics, events occurring between the two assessments, and agreement were assessed. Results Among the 292 patients (means ± SD age 81.5 ± 7, MMSE 19.6 ± 6, 39.7% with major neurocognitive disorders) analyzed, the proportion of agreement between the two modes was 89.4% for the total IADL score. Weighted kappa coefficient was 0.66 and ICC score was 0.91 for total IADL score. The mean difference between the IADL score by telephone or face-to-face was 0.32. Overall, 96.9% of measures lay within the 95% limits of agreement. The occurrence of fall was less likely associated with the probability to lie within the 95% limits of agreement (OR = 0.07 [0.02–0.27]). Conclusion The administration of IADL by telephone with the caregiver appears to be an acceptable method of assessment for MC patients compared to face-to-face interview. The events such as falls which could occur in a time close to the evaluation should be reported. Study registration ClinicalTrials.gov, NCT02654574. Retrospectively registered: 13 January 2016
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Affiliation(s)
- Virginie Dauphinot
- Memory Clinical and Research Center of Lyon (CMRR), Lyon Institute For Elderly, Hospices Civils de Lyon, Lyon, France. .,Hôpital des Charpennes, 27 rue Gabriel Péri, 69100, Villeurbanne, France.
| | - Nawèle Boublay
- Memory Clinical and Research Center of Lyon (CMRR), Lyon Institute For Elderly, Hospices Civils de Lyon, Lyon, France.,Université Lyon 1, Lyon, France
| | - Claire Moutet
- Memory Clinical and Research Center of Lyon (CMRR), Lyon Institute For Elderly, Hospices Civils de Lyon, Lyon, France
| | - Sarah Achi
- Memory Clinical and Research Center of Lyon (CMRR), Lyon Institute For Elderly, Hospices Civils de Lyon, Lyon, France
| | - Anthony Bathsavanis
- Memory Clinical and Research Center of Lyon (CMRR), Lyon Institute For Elderly, Hospices Civils de Lyon, Lyon, France
| | - Pierre Krolak-Salmon
- Memory Clinical and Research Center of Lyon (CMRR), Lyon Institute For Elderly, Hospices Civils de Lyon, Lyon, France.,Université Lyon 1, Lyon, France.,INSERM, U1028; CNRS, UMR5292; Lyon Neuroscience Research Center, Brain Dynamics and Cognition Team, F-69000, Lyon, France
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Dufournet M, Dauphinot V, Moutet C, Verdurand M, Delphin-Combe F, Krolak-Salmon P, Krolak-Salmon P, Dauphinot V, Delphin-Combe F, Makaroff Z, Federico D, Coste MH, Rouch I, Dorey JM, Lepetit A, Danaila K, Vernaudon J, Bathsavanis A, Sarciron A, Guilhermet Y, Gaujard S, Grosmaître P, Moutet C, Verdurand M. Impact of Cognitive, Functional, Behavioral Disorders, and Caregiver Burden on the Risk of Nursing Home Placement. J Am Med Dir Assoc 2019; 20:1254-1262. [DOI: 10.1016/j.jamda.2019.03.027] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Revised: 03/21/2019] [Accepted: 03/22/2019] [Indexed: 01/10/2023]
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Gueyraud C, Anaut M, Sanchez S, Denormandie P, Bathsavanis A, Krolak-Salmon P. [Dementia and non-pharmacological therapy, the effectiveness of play]. Soins Gerontol 2017; 22:27-31. [PMID: 28533043 DOI: 10.1016/j.sger.2017.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
A study was carried out to look into the effectiveness of play and the ways it can be used in the treatment of Alzheimer's disease. An intervention founded on the principal of a recreational setting, taking into account the choice of objects, the layout of the space and the role of the professional, could present itself as a form of therapeutic mediation adapted to this pathology. This study shows that play helps to reduce the behavioural problems of residents with Alzheimer's disease, and boosted their wellbeing and quality of life.
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Affiliation(s)
| | - Marie Anaut
- Université Lumière Lyon 2, Ispef, 86 rue Pasteur, 69007 Lyon, France
| | - Stéphane Sanchez
- Pôle Imep, Hôpitaux champagne sud, 101 avenue Anatole France, 10000 Troyes, France; Institut bien vieillir Korian, 21, 23, 25 rue Balzac, 75008 Paris, France.
| | | | - Anthony Bathsavanis
- Centre Mémoire de ressources et de recherche de Lyon, Institut du vieillissement, hôpital des Charpennes, Hospices civils de Lyon, 27 rue Gabriel Péri, 69100 Villeurbanne, France; Centre de recherche clinique Vieillissement, cerveau, fragilité, Université Claude Bernard Lyon 1, 43 boulevard du 11 novembre 1918, 69622 Villeurbanne cedex, France; Centre de recherche en neurosciences de Lyon, Inserm 1048, hôpital des Charpennes, 27 rue Gabriel Péri, 69100 Villeurbanne, France
| | - Pierre Krolak-Salmon
- Centre Mémoire de ressources et de recherche de Lyon, Institut du vieillissement, hôpital des Charpennes, Hospices civils de Lyon, 27 rue Gabriel Péri, 69100 Villeurbanne, France; Centre de recherche clinique Vieillissement, cerveau, fragilité, Université Claude Bernard Lyon 1, 43 boulevard du 11 novembre 1918, 69622 Villeurbanne cedex, France; Centre de recherche en neurosciences de Lyon, Inserm 1048, hôpital des Charpennes, 27 rue Gabriel Péri, 69100 Villeurbanne, France
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Delphin-Combe F, Bathsavanis A, Rouch I, Liles T, Vannier-Nitenberg C, Fantino B, Dauphinot V, Krolak-Salmon P. Relationship between anxiety and cognitive performance in an elderly population with a cognitive complaint. Eur J Neurol 2016; 23:1210-7. [DOI: 10.1111/ene.13004] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2015] [Accepted: 03/02/2016] [Indexed: 11/28/2022]
Affiliation(s)
- F. Delphin-Combe
- Clinical and Research Memory Center of Lyon; Hôpital des Charpennes; Hospices Civils de Lyon; Lyon France
| | - A. Bathsavanis
- Clinical and Research Memory Center of Lyon; Hôpital des Charpennes; Hospices Civils de Lyon; Lyon France
| | - I. Rouch
- Clinical and Research Memory Center of Lyon; Hôpital des Charpennes; Hospices Civils de Lyon; Lyon France
- Neurology Unit; University Hospital of Saint-Etienne; Saint Etienne France
| | - T. Liles
- University Catholique of Lyon; Lyon France
| | | | - B. Fantino
- Division of Geriatric Medicine; Department of Neuroscience; Angers University Hospital; Angers France
| | - V. Dauphinot
- Clinical and Research Memory Center of Lyon; Hôpital des Charpennes; Hospices Civils de Lyon; Lyon France
| | - P. Krolak-Salmon
- Clinical and Research Memory Center of Lyon; Hôpital des Charpennes; Hospices Civils de Lyon; Lyon France
- University Lyon I; Lyon France
- INSERM U1028; CNRS UMR5292; Lyon Neuroscience Research Center; Lyon France
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Vannier-Nitenberg C, Dauphinot V, Bongue B, Sass C, Bathsavanis A, Rouch I, Deville N, Beauchet O, Krolak-Salmon P, Fantino B. Performance of cognitive tests, individually and combined, for the detection of cognitive disorders amongst community-dwelling elderly people with memory complaints: the EVATEM study. Eur J Neurol 2015; 23:554-61. [PMID: 26518736 DOI: 10.1111/ene.12888] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2015] [Accepted: 09/02/2015] [Indexed: 11/30/2022]
Abstract
BACKGROUND AND PURPOSE Dementia is a leading cause of dependence amongst the aged population. Early identification of cognitive impairment could help to delay advanced stages of dependence. This study aimed at assessing the performance of three neuropsychological tests to detect cognitive disorders in elderly subjects with memory complaints. METHODS The EVATEM study is a prospective multicentre cohort with a 1-year follow-up. Subjects with memory complaints were selected during preventive health examinations, and three neuropsychological tests (five-word, cognitive disorders examination, verbal fluency) were administered. Two groups were identified in memory clinics: (i) cognitively healthy individuals (CHI) and (ii) mild cognitive impairment or demented individuals (MCI-DI). Cross-sectional analyses were performed on data at inclusion. The relationship between the diagnosis of MCI-DI/CHI and the neuropsychological tests was assessed using logistic regressions. The performance of the neuropsychological tests, individually and combined, to detect cognitive disorders was calculated. RESULTS Of 585 subjects, 31.11% had cognitive disorders (MCI, 176 subjects; DI, six subjects). Amongst the three tests studied, the odds ratio for MCI-DI was higher for the five-word test <10 [odds ratio 3.2 (1.81; 5.63)]. The best performance was observed when the three tests were combined: specificity 90.5% and sensitivity 42.4% compared to respectively 89.2% and 28.3% for the five-word test. CONCLUSIONS Despite the poor sensitivity of the five-word test, it seems to be the most adapted for the diagnosis of MCI-DI in older adults with a memory complaint, in prevention centres, taking into account its high specificity and its rapid administration compared to the other tests.
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Affiliation(s)
| | - V Dauphinot
- Centre Mémoire de Ressources et de Recherche (CMRR) Lyon, Hôpital des Charpennes, Hospices civils de Lyon, Villeurbanne, France
| | - B Bongue
- Centre Technique d'Appui et de Formation des Centres d'Examens de Santé (CETAF), Saint-Etienne, France.,Laboratory EA4607 SNA-EPIS, PRES Lyon, Jean Monnet University of Saint Etienne, Saint Etienne, France
| | - C Sass
- Centre Technique d'Appui et de Formation des Centres d'Examens de Santé (CETAF), Saint-Etienne, France
| | - A Bathsavanis
- Centre Mémoire de Ressources et de Recherche (CMRR) Lyon, Hôpital des Charpennes, Hospices civils de Lyon, Villeurbanne, France
| | - I Rouch
- Centre Mémoire de Ressources et de Recherche (CMRR) Lyon, Hôpital des Charpennes, Hospices civils de Lyon, Villeurbanne, France.,CMRR de Saint Etienne, Service de Neurologie, CHU de Saint Etienne, Saint Etienne Cedex, France
| | - N Deville
- Centre Technique d'Appui et de Formation des Centres d'Examens de Santé (CETAF), Saint-Etienne, France
| | - O Beauchet
- Centre Technique d'Appui et de Formation des Centres d'Examens de Santé (CETAF), Saint-Etienne, France.,Department of Neuroscience, Division of Geriatric Medicine, Angers University Hospital, Angers, France
| | - P Krolak-Salmon
- Centre Mémoire de Ressources et de Recherche (CMRR) Lyon, Hôpital des Charpennes, Hospices civils de Lyon, Villeurbanne, France.,Inserm U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Brain Dynamics and Cognition Team, Lyon, France.,University Lyon 1, Lyon, France
| | - B Fantino
- Department of Neuroscience, Division of Geriatric Medicine, Angers University Hospital, Angers, France.,Filiéris, Caisse Autonome Nationale de la Sécurité Sociale dans les Mines, Paris, France
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Xie J, Gabelle A, Dorey A, Garnier-Crussard A, Perret-Liaudet A, Delphin-Combe F, Bathsavanis A, Dauphinot V, Lehmann S, Mercier B, Desestret V, Roullet-Solignac I, Vighetto A, Krolak-Salmon P. Initial memory deficit profiles in patients with a cerebrospinal fluid Alzheimer's disease signature. J Alzheimers Dis 2015; 41:1109-16. [PMID: 24762946 DOI: 10.3233/jad-131916] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Alzheimer's disease (AD) clinical onset is usually characterized by a memory complaint and a progressive memory deficit. The proportion of typical medial-temporal amnesia revealing AD remains unknown. OBJECTIVE The present study explores the episodic memory impairment profiles by the Free and Cued Selective Recall Reminding Test (FCSRT) in patients with initial memory complaint and a cerebrospinal fluid (CSF) biomarker signature of AD. METHODS Seventy-three patients referred for memory complaint to the Centers for Memory, Resource and Research of Lyon and Montpellier (France) were included consecutively. All patients underwent an extensive neuropsychological examination and had a Mini-Mental State Examination (MMSE) score ≥20 and a positive CSF AD signature. The patients were classified as having mild dementia or prodromal AD. Verbal episodic memory was assessed using the French version of the FCSRT exploring encoding, storage/consolidation, and cued delayed retrieval phases of memorization. Three different memory profiles were identified according to the results of FCSRT. RESULTS The median age was 72 year-old [interquartiles: 65-76]. The median MMSE score was 23 [interquartiles: 21-25]. 88% of the patients (n = 64) presented with a medial temporal amnesia profile. The dysexecutive amnesia and normal verbal episodic memory profiles represented respectively 5% (n = 4) and 7% (n = 5). There were no significant differences in term of age, gender, and MMSE score between the three profile groups. CONCLUSION In a population initially presenting with memory complaints and depicting a CSF AD signature, a high proportion of medial temporal amnesia is disclosed as expected, but also a proportion of dysexecutive amnesia and normal FCSRT.
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Affiliation(s)
- Jing Xie
- Research and Resources Memory Center of Lyon, Hôpital des Charpennes, Hospices Civils de Lyon, Lyon, France
| | - Audrey Gabelle
- Research and Resources Memory Center of Montpellier, University Hospital of Montpellier, and INSERM U1040, Institute of Biotherapies, France
| | - Aline Dorey
- Research and Resources Memory Center of Lyon, Hôpital des Charpennes, Hospices Civils de Lyon, Lyon, France
| | - Antoine Garnier-Crussard
- Research and Resources Memory Center of Lyon, Hôpital des Charpennes, Hospices Civils de Lyon, Lyon, France
| | - Armand Perret-Liaudet
- Neurobiology Department, Hospices Civils de Lyon, Lyon, France INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Lyon, France
| | - Floriane Delphin-Combe
- Research and Resources Memory Center of Lyon, Hôpital des Charpennes, Hospices Civils de Lyon, Lyon, France
| | - Anthony Bathsavanis
- Research and Resources Memory Center of Lyon, Hôpital des Charpennes, Hospices Civils de Lyon, Lyon, France
| | - Virginie Dauphinot
- Research and Resources Memory Center of Lyon, Hôpital des Charpennes, Hospices Civils de Lyon, Lyon, France
| | - Sylvain Lehmann
- Research and Resources Memory Center of Montpellier, University Hospital of Montpellier, and INSERM U1040, Institute of Biotherapies, France
| | - Bernadette Mercier
- Research and Resources Memory Center of Lyon, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France
| | - Virginie Desestret
- Research and Resources Memory Center of Lyon, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France University Lyon I, Lyon, France INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Lyon, France
| | - Isabelle Roullet-Solignac
- Research and Resources Memory Center of Lyon, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France
| | - Alain Vighetto
- Research and Resources Memory Center of Lyon, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France University Lyon I, Lyon, France INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Lyon, France
| | - Pierre Krolak-Salmon
- Research and Resources Memory Center of Lyon, Hôpital des Charpennes, Hospices Civils de Lyon, Lyon, France University Lyon I, Lyon, France INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Lyon, France
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Dauphinot V, Delphin-Combe F, Mouchoux C, Dorey A, Bathsavanis A, Makaroff Z, Rouch I, Krolak-Salmon P. Risk Factors of Caregiver Burden Among Patients with Alzheimer's Disease or Related Disorders: A Cross-Sectional Study. ACTA ACUST UNITED AC 2015; 44:907-16. [DOI: 10.3233/jad-142337] [Citation(s) in RCA: 87] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Virginie Dauphinot
- Memory Research Centre of Lyon (CMRR); Geriatrics Unit, Charpennes Hospital, University Hospital of Lyon, Villeurbanne, France
| | - Floriane Delphin-Combe
- Memory Research Centre of Lyon (CMRR); Geriatrics Unit, Charpennes Hospital, University Hospital of Lyon, Villeurbanne, France
| | - Christelle Mouchoux
- Research Clinic Centre (CRC) - VCF (Aging – Brain – Frailty), Charpennes Hospital, University Hospital of Lyon, Villeurbanne, France
- University Hospital of Lyon, Pharmaceutical Unit, Lyon, France
- University Lyon 1, INSERM, U1028, UMR CNRS 5292, Research Centre of Neurosciences of Lyon, Lyon, France
| | - Aline Dorey
- Memory Research Centre of Lyon (CMRR); Geriatrics Unit, Charpennes Hospital, University Hospital of Lyon, Villeurbanne, France
| | - Anthony Bathsavanis
- Memory Research Centre of Lyon (CMRR); Geriatrics Unit, Charpennes Hospital, University Hospital of Lyon, Villeurbanne, France
| | - Zaza Makaroff
- Memory Research Centre of Lyon (CMRR); Geriatrics Unit, Charpennes Hospital, University Hospital of Lyon, Villeurbanne, France
| | - Isabelle Rouch
- Memory Research Centre of Lyon (CMRR); Geriatrics Unit, Charpennes Hospital, University Hospital of Lyon, Villeurbanne, France
- Neurology Unit, University Hospital of Saint-Etienne, Saint Etienne, France
| | - Pierre Krolak-Salmon
- Memory Research Centre of Lyon (CMRR); Geriatrics Unit, Charpennes Hospital, University Hospital of Lyon, Villeurbanne, France
- Research Clinic Centre (CRC) - VCF (Aging – Brain – Frailty), Charpennes Hospital, University Hospital of Lyon, Villeurbanne, France
- University Lyon 1, INSERM, U1028, UMR CNRS 5292, Research Centre of Neurosciences of Lyon, Lyon, France
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