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International Journal of Alzheimer’s Disease
Volume 2012, Article ID 673849, 8 pages
http://dx.doi.org/10.1155/2012/673849
Research Article

Characterizing Cognitive Deficits and Dementia in an Aging Urban Population in India

1Neurology Department, T. N. Medical College/BYL Nair Charitable Hospital, Mumbai 400008, India
2JJP VA Medical Center, Bronx, NY 10468, USA
3Psychiatry Department, Mount Sinai School of Medicine, New York, NY 10029, USA
4Neurology Department, KEM Hospital and Seth GS Medical College, Mumbai 400012, India
5Pathology Department, Mount Sinai School of Medicine, New York, NY 10029, USA
6Psychiatry Department, T. N. Medical College/BYL Nair Charitable Hospital, Mumbai 400008, India

Received 17 March 2012; Accepted 7 May 2012

Academic Editor: Kaarin Anstey

Copyright © 2012 G. Nair et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Rapid rise in the population of older adults in India will lead to the need for increased health care services related to diagnosis, management, and long-term care for those with dementia and cognitive impairment. A direct approach for service provision through memory clinics can be an effective, successful, and sustaining means of delivering specialized health care services. We have established a memory clinic in Mumbai, India by employing the diverse clinical skills available in Indian academic institutions, diagnostic and research expertise of clinicians and psychologists, and the support of the U.S. National Institutes of Health. Our project involved recruitment of patients, clinical and neuropsychological assessment, and standardized diagnostic procedures, demonstrating the feasibility of using research methods to develop a memory clinic. In this paper, we describe the development of a community-based memory clinic in urban India, including linguistic and cultural factors and present detailed results, including diagnostic characterization, on 194 subjects with various stages of cognitive deficits. Our findings support the feasibility of developing a memory clinic in a public hospital and successful use of research diagnostic criteria to categorize cognitive deficits observed in this population, which may be used to inform the development of other such clinics.