Screening for dementia in general hospital inpatients: a systematic review and meta-analysis of available instruments

Abstract

a small number of instruments have been validated for screening for dementia in general hospital. Understanding strengths and weaknesses of currently available instruments allows informed decisions about screening in this setting.

Association between Cognitive Status before Surgery and Outcomes in Elderly Patients with Hip Fracture in a Dedicated Orthogeriatric Care Pathway

“…1-Patients with dementia (DP): with a previous diagnosis of dementia by a geriatrician or a neurologist using internationally recognized criteria and DSM-IV criteria [8][9][10]28]. These patients had had a cognitive screening with a neuropsychologist using screening instruments and a cerebral imaging.…”

“…As detailed in the introduction, there are a significant proportion of patients under diagnosed [8,10]. In this group, patients possibly had dementia, mild cognitive impairment (MCI) or other conditions with cognitive consequences.…”

“…Surviving patients or their relatives were evaluated in the usual ambulatory clinic assessment, or contacted and interviewed by telephone; ADL scale and MMSE (Mini-Mental State Examination) were usually done [8,10]. Missing patients were tracked through health care providers, particularly general practitioners, or any identified acquaintances.…”

“…Dementia affects 36 million people worldwide, with numbers expected to double every 20 years to 66 million by 2030 [8]. Among dementia, notably in the geriatric population, Alzheimer's disease (AD) is the most frequent neurodegenerative disorder [9], but cognitive impairment remains under diagnosed [8].…”

“…Among dementia, notably in the geriatric population, Alzheimer's disease (AD) is the most frequent neurodegenerative disorder [9], but cognitive impairment remains under diagnosed [8]. In 2009, Sampson et al showed that 42% of unselected older medical inpatients had dementia, half of these had not previously been diagnosed with dementia [10].…”