ReviewJournal of hospital medicine2015
The association between an ultrabrief cognitive screening in older adults and hospital outcomes.
Review in Journal of hospital medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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.
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.
Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Structural integrity of the anterior mid-cingulate cortex contributes to resilience to delirium in SuperAging.Brain communications · 2022Article
- Performance of Electronic Prediction Rules for Prevalent Delirium at Hospital Admission.JAMA network open · 2018Article
- Focusing on Inattention: The Diagnostic Accuracy of Brief Measures of Inattention for Detecting Delirium.Journal of hospital medicine · 2018Observational
- Exploring Delirium's Heterogeneity: Association Between Arousal Subtypes at Initial Presentation and 6-Month Mortality in Older Emergency Department Patients.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2017Article
- Validation of the delirium observation screening scale in a hospitalized older population.Journal of hospital medicine · 2016Article
- Testing the functional assessment of mentation: A mobile application based assessment of mental status.Journal of hospital medicine · 2016Observational
- Ultrabrief delirium assessments--are they ready for primetime?Journal of hospital medicine · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundThough often recommended, hospital cognitive assessment is infrequently completed due to clinical and time constraints.
objectiveThis analysis aimed to evaluate the relationship between performance on ultrabrief cognitive screening instruments and hospital outcomes.
designThis is a secondary data analysis of a quality improvement project.
settingTertiary Veterans Administration hospital in New England. PATIENTS: Patients, ≥ 60 years old, admitted to the hospital.
interventionNone. MEASUREMENTS: Upon admission, patients were administered 2 cognitive screening tools. The modified Richmond Agitation and Sedation Scale (mRASS) is a measure of arousal that can be completed in 15 seconds. The months of the year backward (MOYB) is a measure of attention that can be administered in ≤1 minute. In-hospital outcomes included restraints and mortality, whereas discharge outcomes included length of stay, discharge not home, and variable direct costs. Risk ratios were calculated for dichotomous outcomes and unadjusted Poisson regression for continuous outcomes.
resultsPatients (n = 3232) were screened. Altered arousal occurred in 15% of patients (n = 495); incorrect MOYB was recorded in 45% (n = 1457). Relative to those with normal arousal and attention, those with abnormal mRASS and incorrect MOYB had increased length of stay (incident rate ratio [IRR]: 1.23, 95% confidence interval [CI]: 1.17-1.30); restraint use (risk ratio [RR]: 5.05, 95% CI: 3.29-7.75), in-hospital mortality (RR: 3.46, 95% CI: 1.24-9.63), and decreased discharge home (RR: 2.97, 95% CI: 2.42-3.64). Hospital variable direct costs were slightly, but not significantly, higher (IRR: 1.02, 95% CI: 0.88-1.17).
conclusionImpaired performance on ultrabrief cognitive assessments of arousal and attention provide valuable insights regarding hospital outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.