The Six-Item Screener and AD8 for the detection of cognitive impairment in geriatric emergency department patients.
The Six-Item Screener and AD8 for the detection of cognitive impairment in geriatric emergency department patients.
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DOI：
10.1016/j.annemergmed.2010.06.560
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发表时间：
2011-06
影响因子：
6.2
通讯作者：
Rothenberger, Morgan
中科院分区：
文献类型：
--
作者：
Carpenter, Christopher R.;DesPain, Bobby;Keeling, Travis N.;Shah, Mansi;Rothenberger, Morgan
我们评估了六项筛选器和AD8的诊断测试特征，以检测65岁以上因任何原因使用急诊科（ED）的成年人的认知功能障碍。我们在一所学术性城市大学附属医院进行了一项观察性横断面队列研究。受试者为自愿、非危重症、说英语、年龄大于65岁且在急诊科接受治疗的成年人。我们以Mini-Mental State Examination得分低于24分作为认知功能障碍的标准，定量评估六项筛查和AD8的诊断测试特征。认知功能障碍的患病率为35%，但只有6%的图表显示存在预先存在的缺陷。在检测认知功能障碍方面，六项筛选法优于护理人员给药的AD8或患者给药的AD8。在识别隐匿性认知功能障碍风险增加的老年人方面，六项筛选优于护理人员或患者管理的AD8。
We evaluate the diagnostic test characteristics of the Six-Item Screener and the AD8 to detect cognitive dysfunction in adults older than 65 years and using the emergency department (ED) for any reason. We conducted an observational cross-sectional cohort study at a single academic urban university-affiliated hospital. Subjects were consenting, non-critically ill, English-speaking adults older than 65 years and receiving care in the ED. We quantitatively assessed the diagnostic test characteristics of the Six-Item Screener and AD8 by using the Mini-Mental State Examination score less than 24 as the criterion standard for cognitive dysfunction. The prevalence of cognitive dysfunction was 35%, but only 6% of charts noted a pre-existing deficit. The Six-Item Screener was superior to either the caregiver-administered AD8 or the patient-administered AD8 for the detection of cognitive dysfunction. The Six-Item Screener was superior to the caregiver- or patient-administered AD8 to identify older adults at increased risk for occult cognitive dysfunction.
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影响因子：
39.2
作者：
CALLAHAN, CM;HENDRIE, HC;TIERNEY, WM
通讯作者：
TIERNEY, WM
影响因子：
6.9
作者：
ANTHONY, JC;LERESCHE, L;FOLSTEIN, MF
通讯作者：
FOLSTEIN, MF
影响因子：
14
作者：
Brookmeyer, Ron;Johnson, Elizabeth;Arrighi, H. Michael
通讯作者：
Arrighi, H. Michael
影响因子：
9.9
作者：
Galvin, James E.;Roe, Catherine M.;Morris, John C.
通讯作者：
Morris, John C.
影响因子：
--
作者：
Galvin, James E.;Roe, Catherine M.;Morris, John C.
通讯作者：
Morris, John C.