Annals of Emergency Medicine
Volume 41, Issue 5 , Pages 678-684 , May 2003

The effect of mental status screening on the care of elderly emergency department patients

This article was presented in part at the Society for Academic Emergency Medicine Scientific Assembly, St. Louis, MO, May 2002.

Received 7 October 2002 ,Revised 22 November 2002 ,Accepted 4 December 2002.

References 

  1. Hustey FM, Meldon SW. The prevalence and documentation of impaired mental status in elderly emergency department patients. Ann Emerg Med. 2002;39:248–253
  2. Elie M, Rousseau F, Cole M, et al.  Prevalence and detection of delirium in elderly emergency department patients. CMAJ. 2000;163:877–881
  3. Lewis LM, Miller DK, Morley JE, et al.  Unrecognized delirium in ED geriatric patients. Am J Emerg Med. 1995;13:142–145
  4. Naughton BJ, Moran MB, Kadah H, et al.  Delirium and other cognitive impairment in older adults in an emergency department. Ann Emerg Med. 1995;25:751–755
  5. Marcantonio ER, Flacker JM, Michael M, et al.  Delirium is independently associated with poor functional recovery after hip fracture. J Am Geriatr Soc. 2000;48:618–624
  6. Dolan MM, Hawkes WG, Zimmerman SI, et al.  Delirium on hospital admission in aged hip fracture patients: prediction of mortality and 2-year functional outcomes. J Gerontol A Biol Sci Med Sci. 2000;55:M527–M534
  7. Inouye SK, Rushing JT, Foreman MD, et al.  Does delirium contribute to poor hospital outcomes? A three-site epidemiologic study. J Gen Intern Med. 1998;13:234–242
  8. Pompei P, Foreman M, Rudberg MA, et al.  Delirium in hospitalized older persons: outcome and predictors. J Am Geriatr Soc. 1994;42:809–815
  9. Sanders AB. Missed delirium in older emergency department patients: a quality-of-care problem. Ann Emerg Med. 2002;39:338–341
  10. Inouye SK, van Dyck CH, Alessi CA, et al.  Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann Intern Med. 1990;113:941–948
  11. Katzman R, Brown T, Fuld P, et al.  Validation of a short orientation-memory-concentration test of cognitive impairment. Am J Psychiatry. 1983;140:734–739
  12. Gerson LW, Coundell SR, Fontanarosa PB, et al.  Case finding for cognitive impairment in elderly emergency department patients. Ann Emerg Med. 1994;23:813–817
  13. Geldmacher DS, Whitehouse PJ. Current concepts: evaluation of dementia. N Engl J Med. 1996;335:330–336
  14. Johnson JC, Sims R, Gottlieb G. Differential diagnosis of dementia, delirium and depression. Drugs Aging. 1994;5:431–445
  15. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in he community. N Engl J Med. 1988;319:1701–1707
  16. Baraff LJ, Della Penna R, Williams N, et al.  Practice guideline for the ED management of falls in community-dwelling elderly persons. Ann Emerg Med. 1997;30:480–489
  17. Bernstein E. Repeat visits by elder emergency department patients: sentinel events. Acad Emerg Med. 1997;4:538–539
  18. Fillenbaum GG, Landerman LR, Simonsick EM. Equivalence of two screens of cognitive functioning: the Short Portable Mental Status Questionnaire and the Orientation-Memory-Concentration test. J Am Geriatr Soc. 1998;46:1512–1518
  19. Davis PB, Morris JC, Grant E. Brief screening tests versus clinical staging in senile dementia of the Alzheimer type. J Am Geriatr Soc. 1990;38:129–135

 Dr. Meldon was supported in part by an American Geriatrics Society/Hartford Foundation Jahnigen Career Development Scholars Award.

☆☆ Address for reprints: Fredric M. Hustey, MD, Department of Emergency Medicine-E-19, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195; 216-445-4558, fax 216-444-1703; E-mail husteyf@ccf.org .

PII: S0196-0644(03)00168-9

doi: 10.1067/mem.2003.152

Annals of Emergency Medicine
Volume 41, Issue 5 , Pages 678-684 , May 2003