Evidence map›Paper›PMID 26882263›Full record

Observational studyJournal of hospital medicine2016

Testing the functional assessment of mentation: A mobile application based assessment of mental status.

David E Hamilton, Valerie G Press, Nicole M Twu, Trevor C Yuen, Crystal N Azu, Matthew M Churpek, Dana P Edelson

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of hospital medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Partnering is Paramount: Engaging Care Partners to Improve Delirium Identification.WMJ : official publication of the State Medical Society of Wisconsin · 2024
    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.

David E HamiltonPritzker School of Medicine, University of Chicago, Chicago, Illinois.
Valerie G PressDepartment of Medicine, University of Chicago, Chicago, Illinois.
Nicole M TwuDepartment of Medicine, University of Chicago, Chicago, Illinois.
Trevor C YuenCenter for Quality, University of Chicago Medicine, Chicago, Illinois.
Crystal N AzuPritzker School of Medicine, University of Chicago, Chicago, Illinois.
Matthew M ChurpekDepartment of Medicine, University of Chicago, Chicago, Illinois.
Dana P EdelsonDepartment of Medicine, University of Chicago, Chicago, Illinois.
University of Chicago · US

Funding

Short Term Aging-Related Research ProgramT35AG029795 · NIA · UNIVERSITY OF CHICAGO · PI Vineet Arora, DAVID O MELTZER · 2008 to 2026
$1.4M
Predicting In-hospital Cardiac Arrest Using Electronic Health Record DataK08HL121080 · NHLBI · UNIVERSITY OF CHICAGO · PI CHURPEK, MATTHEW MICHAEL · 2014 to 2018
$751k
Video vs. TTG Respiratory inhaler technique Assessment and InstructioN (V-TRAIN)K23HL118151 · NHLBI · UNIVERSITY OF CHICAGO · PI PRESS, VALERIE G · 2013 to 2016
$658k
Strategies to Predict and Prevent In-Hospital Cardiac ArrestK23HL097157 · NHLBI · UNIVERSITY OF CHICAGO · PI EDELSON, DANA PERES · 2009 to 2013
$648k
NHLBI NIH HHS K08 HL121080NHLBI NIH HHS K23 HL097157NHLBI NIH HHS K23 HL118151NIA NIH HHS T35 AG029795
6 · The paper itself

Abstract

backgroundAltered mental status is a significant predictor of mortality in hospitalized patients and a prerequisite component to the diagnosis of delirium. However, the detection of altered mental status is often incomplete, inaccurate, and resource intensive.

objectiveTo identify the clinical utility and feasibility of the Functional Assessment of Mentation (FAM(TM) ), a mobile application for evaluating attention and recall.

designProspective observational pilot study.

settingTertiary care medical center.

participantsNine hundred thirty-one adult subjects (612 nonhospitalized and 319 hospitalized). MEASUREMENTS: Score distribution and time to FAM(TM) completion were compared between nonhospitalized and hospitalized subjects (as well as between hospitalized subjects discharged home and those not discharged home). Additionally, in the hospitalized subgroup, FAM(TM) was compared to the Glasgow Coma Scale (GCS), using the Short Portable Mental Status Questionnaire (SPMSQ) as our criterion standard for altered mental status assessment.

resultsMedian time to completion of FAM(TM) was 55 seconds (interquartile range [IQR], 45-67 seconds). Our data identified a graded reduction in score comparing nonhospitalized subjects to hospitalized subjects discharged home and not discharged home (median 5 [IQR 4-7] vs 5 [IQR 3-6] vs 3 [IQR 1-5]; P < 0.001). In the hospitalized subset, FAM(TM) scores were more highly correlated to SPMSQ (Spearman ρ = 0.27, P < 0.001) compared to GCS (Spearman ρ = 0.05, P = 0.40).

conclusionsFAM(TM) is a rapid and clinically feasible tool that can identify minor alterations in mental status often missed by GCS. Journal of Hospital Medicine 2016;11:463-466. 2016 Society of Hospital Medicine.

Indexed as

HospitalizationMental Status ScheduleAttentionDeliriumFemaleHumansMaleMental RecallMiddle AgedMobile ApplicationsPilot ProjectsProspective Studies

Identifiers

PMID26882263
PMCPMC4931986
OpenAlexW2288654408

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.