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Text
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URL Address
<a href="http://doi.org/10.1197/j.aem.2005.01.017" target="_blank" rel="noreferrer noopener">http://doi.org/10.1197/j.aem.2005.01.017</a>
Pages
612–616
Issue
7
Volume
12
Dublin Core
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Title
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An evaluation of two screening tools for cognitive impairment in older emergency department patients.
Publisher
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Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Date
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2005
2005-07
Subject
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*Psychiatric Status Rating Scales; Aged; Cognition Disorders/*diagnosis; Cross-Sectional Studies; Emergency Medicine/*instrumentation; Emergency Service; Female; Geriatrics/*instrumentation; Hospital; Humans; Male; Prospective Studies; Sensitivity and Specificity
Creator
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Wilber Scott T; Lofgren Samuel D; Mager Thomas G; Blanda Michelle; Gerson Lowell W
Description
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OBJECTIVES: Screening for cognitive impairment in older emergency department (ED) patients is recommended to ensure quality care. The Mini-Mental State Examination (MMSE) may be too long for routine ED use. Briefer alternatives include the Six-Item Screener (SIS) and the Mini-Cog. The objective of this study was to describe the test characteristics of the SIS and the Mini-Cog compared with the MMSE when administered to older ED patients. METHODS: This institutional review board-approved, prospective, randomized study was performed in a university-affiliated teaching hospital ED. Eligible patients were 65 years and older and able to communicate in English. Patients who were unable or unwilling to perform testing, who were medically unstable, or who received medications affecting their mental status were excluded. Patients were randomized to receive the SIS or the Mini-Cog by the treating emergency physician. Investigators administered the MMSE 30 minutes later. An SIS score of
Identifier
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<a href="http://doi.org/10.1197/j.aem.2005.01.017" target="_blank" rel="noreferrer noopener">10.1197/j.aem.2005.01.017</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Psychiatric Status Rating Scales
2005
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Aged
Blanda Michelle
Cognition Disorders/*diagnosis
Cross-Sectional Studies
Department of Emergency Medicine
Emergency Medicine/*instrumentation
Emergency Service
Female
Geriatrics/*instrumentation
Gerson Lowell W
Hospital
Humans
Lofgren Samuel D
Mager Thomas G
Male
NEOMED College of Medicine
Prospective Studies
Sensitivity and Specificity
Wilber Scott T