Journal
ANNALS OF EMERGENCY MEDICINE
Volume 57, Issue 6, Pages 653-661Publisher
MOSBY-ELSEVIER
DOI: 10.1016/j.annemergmed.2010.06.560
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Funding
- NCI NIH HHS [KM1 CA156708-01, KM1 CA156708] Funding Source: Medline
- NCRR NIH HHS [UL1 RR024992] Funding Source: Medline
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Study objective: We evaluate the diagnostic test characteristics of the Six-Item Screener and the ADS to detect cognitive dysfunction in adults older than 65 years and using the emergency department (ED) for any reason. Methods: 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. Results: 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. Conclusion: The Six-Item Screener was superior to the caregiver- or patient-administered AD8 to identify older adults at increased risk for occult cognitive dysfunction. [Ann Emerg Med. 2011;57:653-661.]
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