Evidence map›Paper›PMID 21275931›Full record

ArticleJournal of the American Geriatrics Society2011

Depression and cognitive impairment in older adult emergency department patients: changes over 2 weeks.

Manish N Shah, Thomas M Richardson, Courtney M C Jones, Peter A Swanson, Sandra M Schneider, Paul Katz, Yeates Conwell

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of the American Geriatrics Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Observational
  3. Does numeracy correlate with measures of health literacy in the emergency department?Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2014
    Observational
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Manish N ShahDepartment of Emergency Medicine, University of Rochester Medical Center, Rochester, New York, USA. manish.shah@rochester.edu
Thomas M Richardson
Courtney M C Jones
Peter A Swanson
Sandra M Schneider
Paul Katz
Yeates Conwell
University of Rochester Medical Center · US

Funding

IP-RISP: The Senior Health and Research AllianceR24MH071604 · NIMH · UNIVERSITY OF ROCHESTER · PI CONWELL, YEATES · 2006 to 2010
$2.5M
Screening and Interventions in an Acute Care SettingK23AG028942 · NIA · UNIVERSITY OF ROCHESTER · PI SHAH, MANISH N · 2006 to 2009
$756k
NIA NIH HHS 1K23AG028942NIA NIH HHS K23 AG028942NIMH NIH HHS R24 MH071604NIMH NIH HHS R24MH071604
6 · The paper itself

Abstract

objectivesTo evaluate older adult emergency department (ED) patients for depression and cognitive impairment and to re-evaluate those findings 2 weeks later.

designProspective cohort study.

settingED.

participantsOne thousand two hundred six older community-dwelling ED patients consented to participate; 811 (67%) completed the 2-week follow-up. MEASUREMENTS: Screening for depression (9-item Patient Health Questionnaire) and cognitive impairment (Six-Item Screener) was performed. Changes were evaluated through paired comparisons.

resultsAt 2-week follow-up, for depression, 27 of 97 (28%) with baseline positive tests remained positive, and 22 of 706 (3%) with baseline negative tests were positive. At 2-week follow-up, for cognitive impairment, five of 43 (12%) with baseline positive tests remained positive, and 11 of 765 (1%) with baseline negative tests were positive.

conclusionSignificant variability exists for depression and cognitive impairment testing completed during and after the ED visit, with markedly fewer subjects testing positive at follow-up. The variability may reflect changes in clinical state, confounding from other conditions, or poor validity of the instruments in the ED setting. Further studies are needed to explain these findings before case-finding for these conditions is implemented in the ED setting.

Indexed as

AgedAged, 80 and overCognition DisordersDepressionEmergency Service, HospitalFemaleFollow-Up StudiesGeriatric AssessmentHumansMalePrevalenceProspective StudiesPsychiatric Status Rating ScalesRisk FactorsROC CurveSurveys and Questionnaires

Identifiers

PMID21275931
PMCPMC3059130
OpenAlexW1587062745

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.