Observational studyJournal of advanced nursing2026
Care Needs for Patients Screened Positive for Cognitive Impairment and Delirium: A Cross-Sectional Observational Study.
Observational study in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo describe the point prevalence of cognitive impairment in hospitalised adults and evaluate the association with care needs and perceived risks of complications.
designMulti-site cross-sectional study on a single day in May 2023.
methodsTrained clinician auditors screened adult inpatients in acute medical, surgical, oncology, geriatric, mental health, convalescent, and rehabilitation wards for cognitive impairment using the 4AT in seven healthcare facilities and recorded need for support with basic activities of daily living, incontinence, and perceived risks of complications (falls, pressure injuries, and malnutrition). Data were summarised and compared across 4AT categories, and the strength of association between 4AT and each outcome was estimated using multivariable regression models.
resultsData were available for 1145 inpatients on 68 wards (mean age 68 years [SD = 18], 583 [58.9%] female, 449 [39.2%] on acute medical units). Cognitive impairment (4AT of 1 or more) was identified in 482 (42.1%) participants. Participants with 4AT 1-3 had 2.0-3.6 times the odds of need for supervision or assistance with activities of daily living, while those with 4AT 4 or more had 2.9-5.3 times the odds of need for assistance.
conclusionCognitive impairment is very common in adult inpatients and is associated with significantly higher physical care needs. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: Hospital care models must support staff to address the higher care needs in people with cognitive impairment to protect a large patient group from hospital-acquired harm. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. REPORTING
methodThis study adheres to the STROBE reporting guidelines.
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