Screening for dementia in older adults using Mini-Cog scale from a rural setting of Kashmir division

Yasmeen Jan, Beenish Mushtaq, Ashfaq Ahmad Bhat


Background: Dementia is common in the geriatric population. It has been suggested that early detection leads to benefits for the patient and their family and cuts the costs. The solution to this problem lies in the development of brief and easily applicable tests that are acceptable to patients, their caregivers, and health professionals. The current study was undertaken for screening for dementia using Mini-Cog scale.

Methods: Cross sectional study from District Budgam of Kashmir Division done on individuals aged >60 yrs after providing informed consent. All participants underwent comprehensive evaluations using the Mini-Cog scale for Dementia.

Results: The overall prevalence of dementia was 57.5%. Majority of the individuals with dementia were illiterate (49.8%) and had completed up to primary education (63.2%). However no statistical significance was seen between marital and educational status with dementia. About 70.8% of the individuals with dementia were not aware of the availability of facilities related to mental issues.

Conclusions: Need of the hour is to develop culturally appropriate interventions that could be integrated with dementia services within the primary health care system.



Dementia, Mini-Cog scale, Geriatrics

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American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing: 2013.

Census of India: Office of the Registrar General and census. Available at: http://www.census in. Accessed on 23 April 2018.

Gopal K, Nath A. Geriatric health in India: Concerns and Solution. Indian J Community Med. 2008;33(4):214-8.

Ferri CP, Prince M, Brayne C, Brodaty H, Fratiglioni L, Ganguli M, et al. Global prevalence of dementia: A Delphi consensus study. Lancet. 2005;366:2112-7.

Borson S, Scanlan JM, Chen P, Ganguli M. The Mini-Cog as a screen for dementia: Validation in a population-based sample. JAGS. 2003;51(10):1451-4.

Borson S, Scanlan J, Hummel J, Gibbs K, Lessig M, Zuhr E. Implementing routine cognitive screening of older adults in primary care: Process and impact on physician behavior. J General Internal Med. 2007;22(6):811-7.

Michieliloo F, Binkin N, Saugo M, Booeson S, Scanlan J. Group Studio Argento. Ig Sanita Pubb. 2006;62(2):159-72.

Chung S-D, Leu S-P, Sheu J-J, Lun H-C, Chan C-H. Increased health care utilization for patients with dementia: A population –based Study: PLoS ONE. 2014;9(8):e105789.

Fick DM, Kolanowski AM, Waller JL, Inouye SK. Delirium superimposed on dementia in a community-dwelling managed care population: a 3-year retrospective study of occurrence, costs, and utilization. J Gerontol A Biol Sci Med Sci. 2005;60:748–53.