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General Practitioner Assessment of Cognition (GPCOG) Score

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This test was designed as a GP screening tool for dementia.¹ See related article Screening for Cognitive Impairment.

There are two components: a cognitive assessment conducted with the patient, and an informant questionnaire (only considered necessary if the results of the cognitive section are equivocal, i.e. score 5-8 inclusive).

General Practitioner Assessment of Cognition (GPCOG)

GPCOG Patient Examination Unless specified, each question should only be asked once.
Name and address for subsequent recall "I am going to give you a name and address. After I have said it, I want you to repeat it. Remember this name and address because I am going to ask you to tell it to me again in a few minutes: John Brown, 42 West Street, Kensington " (Allow a maximum of 4 attempts but do not score yet)
Time Orientation
What is the date? (accept exact only)	Correct - 1 point Incorrect - 0 points
Clock Drawing (visuospatial functioning) use a paper with a printed circle.
Please mark in all the numbers to indicate the hours of a clock (correct spacing required) .	Correct - 1 point Incorrect - 0 points
For a correct response (above), the numbers 12, 3, 6, and 9 should be in the correct quadrants of the circle and the other numbers should be approximately correctly placed.
Please mark in hands to show 10 minutes past eleven o'clock (11:10).	Correct - 1 point Incorrect - 0 points
For a correct response (above), the hands should be pointing to the 11 and the 2, but do not penalise if the respondent fails to distinguish the long and short hands.
Information
Can you tell me something that happened in the news recently? (recently = in the last week)	Correct - 1 point Incorrect - 0 points
Respondents are not required to provide extensive details, as long as they demonstrate awareness of a recent news story. If a general answer is given, such as "war", "a lot of rain", ask for details. If unable to give details, the answer should be scored as incorrect.
Recall
What was the name and address I asked you to remember? Score for each of the 5 components - John, Brown, 42, West Street, Kensington.	All correct - 5 points 1 error - 4 points 2 errors - 3 points 3 errors - 2 points 4 errors - 1 point All wrong - 0 points
GPCOG Patient Score = /9
GPCOG Informant Interview Ask the informant: ?Compared to a few years ago?
Does the patient have more trouble remembering things that have happened recently?	Yes No Don't know
Does he or she have more trouble recalling conversations a few days later?	Yes No Don't know
When speaking, does the patient have more difficulty in finding the right word or tend to use the wrong words more often?	Yes No Don't know
Is the patient less able to manage money and financial affairs (e.g., paying bills, budgeting)?	Yes No Don't know Not applicable
Is the patient less able to manage his or her medication independently?	Yes No Don't know Not applicable
Does the patient need more assistance with transport (either private or public)?	Yes No Don't know Not applicable
Score 1 point for each "no" answer.
Informant Score = /6
Combined (overall) score = /15	Overall

Results >8 or < 5 on the GPCOG patient section were assumed to be cognitively intact or impaired, respectively. For patients requiring a informant questionnaire, scores of 3 or less out of 6 in this section indicates cognitive impairment.²

This calculator has been reproduced from Brodaty H, Pond D, Kemp NM, et al; The GPCOG: a new screening test for dementia designed for general practice. J Am Geriatr Soc. 2002 Mar;50(3):530-4. ©2002 Reproduced with permission of John Wiley and Sons Ltd.

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Document references

1. Brodaty H, Pond D, Kemp NM, et al; The GPCOG: a new screening test for dementia designed for general practice. J Am Geriatr Soc. 2002 Mar;50(3):530-4. [abstract]
2. Brodaty H, Kemp NM, Low L; Characteristics of the GPCOG, a screening tool for cognitive impairment, Int J Geriatr Psychiatry 2004; 19:870-74

Acknowledgements

EMIS is grateful to Dr Huw Thomas for writing this article. The final copy has passed scrutiny by the independent Mentor GP reviewing team. ©EMIS 2009.
Document ID: 9340
Document Version: 1
Document Reference: bgp26186
Last Updated: 9 Apr 2009
Planned Review: 8 Apr 2014

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