Table 1.
Demographic data and results of assessment in memory clinic service (MCS) group and community mental health team (CMHT) group
| MCS group (n = 33)a | CMHT group (n = 33)a | P | Comments | |
|---|---|---|---|---|
| Mean age, years | 80 | 84 | 0.03 | Significantly older in Trust B |
| Mean age when leaving school, years | 15 | 15 | />0.05 | Not recorded in 4 patients in MCS and in 20 patients in CMHT |
| Female, n (%) | 19 (58) | 22 (67) | />0.05 | |
| MMSE, median | 23.5 | 25 | 0.2 | n = 32 in both groups |
| ACE-R, median (range) | 67 (76) | CMHT group not analysed as only 9 patients had ACE-R done, n = 31 in MCS group |
||
| Accommodation – independent/ sheltered, n (%) |
32 (97) | 30 (94) | />0.05 | |
| Seen with relative/friend/carer, n (%) | 33 (100) | 24 (73) | <0.001 | Clinicians in CMHT group may have contacted relative by telephone after interview |
| Mean days to be seen (s.e.), n (%) | 25 (3) | 20 (3) | 0.23 | |
| Mean months since symptom onset | 23 | 24 | 0.77 | 12 not known in CMHT group |
| Received pre-diagnostic counselling, n (%) | 32 (94) | 2 (6) | <0.0001 | |
| Dementia blood screen examined, n (%) | 33 (100) | 24 (73) | 0.001 | |
| Physical exam done by GP/psychiatrist, n (%) | 16 (48) | 14 (42) | n/s | |
| Functioning examined formally, n (%) | 24 (73) | 1 (3) | <0.0001 | e.g. Bristol Activities of Daily Living30 |
| Behaviour examined formally, n (%) | 22 (67) | 1 (3) | <0.0001 | e.g. Cambridge Behavioural Inventory31 |
| Global assessment formal, n (%) | 33 (100) | 14 (42) | <0.0001 | e.g. HoNOS,32 EQ-5D-5L33 |
| Depression examined formally, n (%) | 2 (6) | 1 (3) | >0.05 | e.g. Geriatric Depression Scale34 |
| Risk assessment, n (%) | 31 (94) | 22 (67) | 0.02 | |
| Patient/carer sent copy of GP letter, n (%) | 29 (88) | 14 (42) | <0.0001 |
ACE-R, Addenbrooke’s Cognitive Examination–Revised; GP, general practitioner; HoNOS, Health of the Nation Outcome Scales; MMSE, mini-Mental State Examination; n/s, non-significant.
a.
Unless otherwise stated.