RT Journal Article
SR Electronic
T1 Mild cognitive impairment in primary care: a clinical review
JF Postgraduate Medical Journal
JO Postgrad Med J
FD The Fellowship of Postgraduate Medicine
SP 647
OP 652
DO 10.1136/postgradmedj-2018-136035
VO 94
IS 1117
A1 Assaf, Georges
A1 Tanielian, Maria
YR 2018
UL http://pmj.bmj.com/content/94/1117/647.abstract
AB Dementia is projected to become a global health priority but often not diagnosed in its earlier preclinical stage which is mild cognitive impairment (MCI). MCI is generally referred as a transition state between normal cognition and Alzheimer’s disease. Primary care physicians play an important role in its early diagnosis and identification of patients most likely to progress to Alzheimer’s disease while offering evidenced-based interventions that may reverse or halt the progression to further cognitive impairment. The aim of this review is to introduce the concept of MCI in primary care through a case-based clinical review. We discuss the case of a patient with MCI and provide an evidence-based framework for assessment, early recognition and management of MCI while addressing associated risk factors, neuropsychiatric symptoms and prognosis.