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. 2011 Jun;57(6):653-61.
doi: 10.1016/j.annemergmed.2010.06.560. Epub 2010 Sep 19.

The Six-Item Screener and AD8 for the detection of cognitive impairment in geriatric emergency department patients

Christopher R Carpenter  1 , Bobby DesPain, Travis N Keeling, Mansi Shah, Morgan Rothenberger
Affiliations

The Six-Item Screener and AD8 for the detection of cognitive impairment in geriatric emergency department patients

Christopher R Carpenter et al. Ann Emerg Med. 2011 Jun.

Abstract

Study objective: 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.

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.

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Figures

Figure 1
Figure 1
Six-Item Screener.
Figure 2
Figure 2
AD8.
Figure 3
Figure 3
Flow diagram for patient enrollment.
Figure 4
Figure 4
A, Receiver operating characteristic curve for pAD8* compared with SIS (n=187). B, Receiver operating characteristic curve for cAD8* compared with SIS (n=132). *The ROC curves are significantly different (P = 0.002).
See this image and copyright information in PMC

References

    1. Roberts DC, McKay MP, Shaffer A. Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003. Ann Emerg Med. 2008;51:769–774. - PubMed
    1. Fitzgerald RT. American College of Emergency Physicians White Paper. The Future of Geriatric Care in Our Nation’s Emergency Departments: Impact and Implications. 2008 Available at http://www.acep.org/Work-Area/DownloadAsset.aspx?id=43376.
    1. Hwang U, Morrison RS. The geriatric emergency department. J Am Geratr Soc. 2007;55:1873–1876. - PubMed
    1. Inouye SK, Studenski S, Tinetti ME, et al. Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geratr Soc. 2007;55:780–791. - PMC - PubMed
    1. Lewis LM, Miller DK, Morley JE, et al. Unrecognized delirium in ED geriatric patients. Am J Emerg Med. 1995;13:142–145. - PubMed

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