Cureus
Mild Cognitive Impairment Identification in Geriatric and Primary Care Clinics and Driving Assessment Outcomes
Par Moshiri KA et Mahmodian M.
Contenu en anglais
Résumé
Background
Mild cognitive impairment (MCI) can affect complex daily activities, including driving. This quality-improvement project compared documented MCI case counts in an outpatient geriatric clinic and a traditional primary care clinic and described Department of Motor Vehicles (DMV) referral documentation and driving assessment outcomes.
Materials and methods
A retrospective Epic electronic health record (EHR) review (Epic Systems Corporation, Verona, WI, USA) covered 2021-2023 and adults aged 65 years and older. Electronic G31.84 queries identified candidates; preserved basic and instrumental daily function and verified Montreal Cognitive Assessment (MoCA) scores of 19-25 were required for inclusion. Scanned MoCA tests and both DMV forms were located by manual chart review. Completed written and behind-the-wheel testing and overall pass/fail outcomes were distinguished. Counts and proportions were summarized descriptively, with exact binomial 95% confidence intervals (CIs) for assessment outcomes.