Current UK clinical practice in diagnosing dementia in younger adults: compliance with quality indicators in electronic health records from mental health trusts

O'Malley, M., Parkes, J., Stamou, V., LaFontaine, J., Oyebode, J. R., Campbell, J. and Carter, J. (2022) Current UK clinical practice in diagnosing dementia in younger adults: compliance with quality indicators in electronic health records from mental health trusts. Aging and Mental Health. 26(11), pp. 2233-2242. 1360-7863.

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Item Type:	Article
Abstract:	OBJECTIVES: To examine current UK practice in diagnosis of patients under 65 with young onset dementia, within 5 years of date of diagnosis, identified from electronic health records of 8 NHS mental health trusts. METHODS: Patients diagnosed with young onset dementia were assembled from the UK-Clinical Record Interactive System, (UK-CRIS) using diagnosis of dementia as the index date. A pre-designed proforma, derived by international Delphi consensus from experts in the field in previous work, was used to assess components of the diagnostic assessment in 402 electronic health records across 8 NHS sites. Information was extracted on key aspects of clinical and physical examination according to both a minimum and gold standard. RESULTS: Percentage compliance rates analysed by NHS site and statement, including compliance for site for minimum standard (11 statements), the additional 20 statements required for Gold standard, and the complete Gold standard set (31 statements) show that the additional 20 statements in the Gold standard had consistently higher compliance rates for every site compared to the minimum set. CONCLUSION: Findings confirmed variation in clinical practice and identified commonly missed items in examination and enquiry compared to expert consensus. This suggests that a template proforma, which contains the key indicators for comprehensive assessment of dementia in young adults according to a quality standard could help support clinicians to improve record keeping and reduce gaps in knowledge.
Uncontrolled Keywords:	/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Creators:	O'Malley, Mary, Parkes, Jacqueline, Stamou, Vasileios, LaFontaine, Jenny, Oyebode, Jan R, Campbell, Jackie and Carter, Janet
Faculties, Divisions and Institutes:	?? HSRES ?? Faculties > Faculty of Health & Society > Nursing
Date:	2 November 2022
Date Type:	Publication
Page Range:	pp. 2233-2242
Journal or Publication Title:	Aging and Mental Health
Volume:	26
Number:	11
Number of Pages:	10
Language:	English
DOI:	https://doi.org/10.1080/13607863.2021.1969640
ISSN:	1360-7863
Status:	Published / Disseminated
Refereed:	Yes
Related URLs:	https://pure.northampton.ac.uk/en/public...
URI:	http://nectar.northampton.ac.uk/id/eprint/15197

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