Observational studyBMC geriatrics2024
Recognition of cognitive dysfunction in hospitalised older patients: a flash mob study.
Observational study in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Advancing dementia-friendly hospital care: a systematic review of healthcare professionals' reported barriers and facilitators using the theoretical domains framework.Age and ageing · 2026Pooled it
- "Pleasantly confused" and missed opportunities for delirium recognition: A hospital record audit.International journal of nursing studies advances · 2026Article
- Airway wall thickness and PRISm are associated with cognitive impairment in individuals with cigarette smoking exposure.Respiratory research · 2026Article
- Delirium awareness and care practices among Western European healthcare professionals: a survey.European geriatric medicine · 2026Article
- Prevalence of cognitive impairment in older medical inpatients: A systematic review and meta-analysis.Journal of anesthesia and translational medicine · 2026Review
- Diagnostic value of death certificates for case ascertainment of dementia: A population-based assessment of mortality registry data.Journal of Alzheimer's disease : JAD · 2026Article
- Aggressive behavior towards hospital dental staff: an original flash survey in a dental department in France.Scientific reports · 2026Article
- Dual-stream algorithms for dementia detection: Harnessing structured and unstructured electronic health record data, a novel approach to prevalence estimation.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
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Authors and funding
22 authors at 15 institutions in 1 country.
Funding
Abstract
backgroundIt is important that healthcare professionals recognise cognitive dysfunction in hospitalised older patients in order to address associated care needs, such as enhanced involvement of relatives and extra cognitive and functional support. However, studies analysing medical records suggest that healthcare professionals have low awareness of cognitive dysfunction in hospitalised older patients. In this study, we investigated the prevalence of cognitive dysfunction in hospitalised older patients, the percentage of patients in which cognitive dysfunction was recognised by healthcare professionals, and which variables were associated with recognition.
methodsA multicentre, nationwide, cross-sectional observational study was conducted on a single day using a flash mob study design in thirteen university and general hospitals in the Netherlands. Cognitive function was assessed in hospitalised patients aged ≥ 65 years old, who were admitted to medical and surgical wards. A Mini-Cog score of < 3 out of 5 indicated cognitive dysfunction. The attending nurses and physicians were asked whether they suspected cognitive dysfunction in their patient. Variables associated with recognition of cognitive dysfunction were assessed using multilevel and multivariable logistic regression analyses.
results347 of 757 enrolled patients (46%) showed cognitive dysfunction. Cognitive dysfunction was recognised by attending nurses in 137 of 323 patients (42%) and by physicians in 156 patients (48%). In 135 patients (42%), cognitive dysfunction was not recognised by either the attending nurse or physician. Recognition of cognitive dysfunction was better at a lower Mini-Cog score, with the best recognition in patients with the lowest scores. Patients with a Mini-Cog score < 3 were best recognised in the geriatric department (69% by nurses and 72% by physicians).
conclusionCognitive dysfunction is common in hospitalised older patients and is poorly recognised by healthcare professionals. This study highlights the need to improve recognition of cognitive dysfunction in hospitalised older patients, particularly in individuals with less apparent cognitive dysfunction. The high proportion of older patients with cognitive dysfunction suggests that it may be beneficial to provide care tailored to cognitive dysfunction for all hospitalised older patients.
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