{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T18:41:51Z","timestamp":1749667311464,"version":"3.37.3"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"11","license":[{"start":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T00:00:00Z","timestamp":1689120000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr Neurol Psychiatr"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>In unserem multidisziplin\u00e4ren Ged\u00e4chtniszentrum der\n                    Universit\u00e4tsklinik Jena haben wir bereits zu Beginn der\n                    SARS-CoV2-Pandemie im Fr\u00fchjahr 2020 mit der regul\u00e4ren\n                    Einf\u00fchrung einer Videosprechstunde f\u00fcr Patient*innen mit\n                    Risiko f\u00fcr eine Demenzentwicklung bzw. mit einer Demenzerkrankung und\n                    deren Angeh\u00f6rigen begonnen.<\/jats:p><jats:p>\u00dcber einen Zeitraum von 12 Monaten haben wir eine systematische Befragung\n                    zur Zufriedenheit bei Patient*innen im regul\u00e4ren\n                    Face-to-Face-Kontakt (F2F) und bei Videokonsultationen (VC)\n                    durchgef\u00fchrt.<\/jats:p><jats:p>Ziel dieser Studie war eine Bewertung der Einsatzm\u00f6glichkeiten von\n                    Telemedizin bei \u00e4lteren Menschen mit beginnenden kognitiven Defiziten im\n                    Rahmen einer Demenzerkrankung. Dabei wollten wir insbesondere die\n                    Patientenzufriedenheit und die Durchf\u00fchrbarkeit bewerten.<\/jats:p><jats:p>Ausgewertet wurden Erstvorstellungen in unserem Ged\u00e4chtniszentrum bei\n                    Verdacht auf das Vorliegen einer demenziellen Erkrankung in einem\n                    standardisierten regul\u00e4ren Vorort-Setting (n=50) sowie in\n                    einer standardisierten Videokonsultation (n=40). In beiden\n                    Settings erfolgten aufeinanderfolgend eine neuropsychologische und eine\n                    \u00e4rztliche Vorstellung. Beide Gruppen waren bez\u00fcglich Alter und\n                    Geschlecht \u00e4hnlich verteilt (71.4 vs. 72.3 Jahre, 52 vs. 50%\n                    weiblich (F2F vs. VC)). Der kognitive Status war in der VC Gruppe leicht besser\n                    (ACE III signifikant, MMST nicht signifikant).<\/jats:p><jats:p>In der Befragung der Patient*innen anhand eines Inventars mit 12 Fragen\n                    (Patient*innenzufriedenheit, bewertet mit 1 bis 5) zeigte sich zwischen\n                    beiden Gruppen insgesamt kein signifikanter Unterschied. Tendenziell wurde hier\n                    allerdings der F2F in der Bewertung der Beratung etwas besser bewertet. Der\n                    technische Ablauf bei der VC wurde von \u00c4rzt*innen und\n                    Neuropsycholog*innen zu \u00fcber 80% als gut\/sehr\n                    gut bewertet.<\/jats:p><jats:p>Eine allgemeine Einsch\u00e4tzung der kognitiven Defizite durch\n                    \u00c4rzt*innen und Neuropsycholog*innen korrelierte im F2F\n                    und VC extrem hoch mit dem Ergebnis der anschlie\u00dfenden spezifischen\n                    Testung (MMST und ACE). Bei tendenziell besserer \u00dcbereinstimmung im VC\n                    war der Unterschied zwischen den Korrelationen nicht signifikant.<\/jats:p><jats:p>Insgesamt konnten wir keinen signifikanten Unterschiede bei der\n                    Patient*innenzufriedenheit zwischen VC und klassischer F2F Vorstellung\n                    finden. Technische Aspekte in der Vorbereitung einer VC und w\u00e4hrend\n                    einer VC waren weniger problematisch als initial antizipiert.<\/jats:p>","DOI":"10.1055\/a-2073-3947","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T17:50:10Z","timestamp":1690393810000},"page":"444-454","source":"Crossref","is-referenced-by-count":2,"title":["Telemedizinische Betreuung von Demenzerkrankten in der COVID-19\n                    Pandemie"],"prefix":"10.1055","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6096-8684","authenticated-orcid":false,"given":"Stefan","family":"Brodoehl","sequence":"additional","affiliation":[{"name":"Neurologie, Jena University Hospital, Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franziska","family":"Wagner","sequence":"additional","affiliation":[{"name":"Neurologie, Jena University Hospital, Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carsten","family":"Klingner","sequence":"additional","affiliation":[{"name":"Neurologie, Jena University Hospital, Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annie","family":"Srowig","sequence":"additional","affiliation":[{"name":"Ged\u00e4chtniszentrum\/Neurologie, Jena University Hospital,\n                    Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathrin","family":"Finke","sequence":"additional","affiliation":[{"name":"Ged\u00e4chtniszentrum\/Neurologie, Jena University Hospital,\n                    Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,7,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1007\/s13670-020-00311-z","article-title":"\u2018Telemedicine: A Valuable Tool in Neurodegenerative\n                    Diseases\u2019","volume":"9","author":"J L Adams","year":"2020","journal-title":"Current Geriatrics Reports"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s00115-021-01105-0","article-title":"\u2018Folgen Der COVID-19-Pandemie F\u00fcr Menschen Mit Schizophrenie,\n                    Demenz Und Abh\u00e4ngigkeitserkrankungen\u2019","author":"K Adorjan","year":"2021","journal-title":"Der Nervenarzt"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"588872","DOI":"10.3389\/fnagi.2020.588872","article-title":"\u2018Cognitive and Neuropsychiatric Manifestations of COVID-19 and Effects\n                    on Elderly Individuals With Dementia\u2019","volume":"12","author":"S Alonso-Lana","year":"2020","journal-title":"Frontiers in Aging Neuroscience"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1089\/tmj.2011.0083","article-title":"\u2018Video-Telemedicine in a Memory Disorders Clinic: Evaluation and\n                    Management of Rural Elders with Cognitive Impairment\u2019","volume":"17","author":"C Barton","year":"2011","journal-title":"Telemedicine Journal and E-Health: The Official Journal of the\n                    American Telemedicine Association"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"560","DOI":"10.1007\/s12603-020-1389-1","article-title":"\u2018Clinical Presentation of COVID19 in Dementia Patients\u2019","volume":"24","author":"A Bianchetti","year":"2020","journal-title":"The Journal of Nutrition, Health & Aging"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1089\/tmj.2008.0144","article-title":"\u2018Telemedicine and the Mini-Mental State Examination: Assessment from a\n                    Distance\u2019","volume":"15","author":"E L Ciemins","year":"2009","journal-title":"Telemedicine Journal and E-Health: The Official Journal of the\n                    American Telemedicine Association"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e0121945","DOI":"10.1371\/journal.pone.0121945","article-title":"\u2018Cocor: A Comprehensive Solution for the Statistical Comparison of\n                    Correlations\u2019","volume":"10","author":"B Diedenhofen","year":"2015","journal-title":"PLoS One"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/0022-3956(75)90026-6","article-title":"\u2018\u201cMini-Mental State\u201d. 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