P874
Developing Topics
1.25-1.56]. Clients with persistent depressive symptoms [9.5%] showed a marginally increased risk of functional decline [adj. OR¼1.14, 95%CI 1.02-1.27] whereas those with baseline only symptoms [5.1%] showed no increase in risk. Conclusions: Older adults with dementia and new depressive symptoms appear to be at particular risk of functional decline. Our findings indicate the need for coordinated efforts to improve the timely identification and treatment of depressive symptoms (beyond a one-time assessment) and the underlying contributing factors among persons with dementia in community settings.
P4-244
VALIDATION OF THE PHILADELPHIA COGNITIVE EXAM (P-COG): A RAPID, TABLET COMPUTER-BASED DEMENTIA SCREENING TEST.
David C. Weisman1, John Khoury2, Kandan Kulandaivel2, Deepa Amberker3, Patrick Sleiman4, 1Abington Neurologic Associates, Abington, PA, USA; 2Abington Neurological Assoc., Abington, PA, USA; 3 Abington Memorial Hospital, Abington, PA, USA; 4CHOP, Philadelphia PA, PA, USA. Contact e-mail:
[email protected] Background: There is a need for a validated, brief, computerized test to screen patients with memory disorders. We validate a computer based and computer administered cognitive test called the Philadelphia Cognitive Exam (P-Cog). The test is a 30 question, multidomain task which takes 3.7 minutes to complete. Methods: We compared patients with Alzheimer’s dementia (AD) (n¼109), mild cognitive impairment (MCI) (70), and normal controls (73). We administered both the I-Pad test (P-Cog) and Montreal Cognitive Assessment (MoCA) to all groups. Descriptive and inferential statistical analyses were carried out and receiver operating characteristic curves (ROC) were generated using the pROC package. Results: Using receiver operating characteristic (ROC) curves, both the
P-Cog and the MoCA discriminate between AD, MCI and normal. The difference between the P-Cog and MoCA ROC curves was not significant. Conclusions: The P-Cog is a time efficient cognitive assessment with good sensitivity and specificity.