Evidence map›Paper›PMID 41856965›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Bedside cognitive screening to detect dementia and predict poor outcomes in hospitals.

Márlon Juliano Romero Aliberti, Thiago Junqueira Avelino-Silva, Kenneth E Covinsky, Laiss Bertola, Regina Miksian Magaldi, Esther S Oh, Christopher R Carpenter, Maria Aparecida Camargos Bicalho, Bruna Macêdo de Carvalho, Maria Eduarda Pires Lins E Silva Lima and 8 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Márlon Juliano Romero AlibertiResearch Institute, Hospital Sirio-Libanes, Sao Paulo, Brazil.ORCID 0000-0001-7467-1745
Thiago Junqueira Avelino-SilvaLaboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Kenneth E CovinskyDivision of Geriatrics, Department of Medicine, University of California San Francisco, San Francisco, California, USA.
Laiss BertolaLaboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Regina Miksian MagaldiLaboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Esther S OhDivision of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Christopher R CarpenterDepartment of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Maria Aparecida Camargos BicalhoUniversidade Federal de Minas Gerais, Hospital das Clínicas, Serviço de Geriatria e Gerontologia, Belo Horizonte, MG, Brazil.
Bruna Macêdo de CarvalhoResearch Institute, Hospital Sirio-Libanes, Sao Paulo, Brazil.
Maria Eduarda Pires Lins E Silva LimaResearch Institute, Hospital Sirio-Libanes, Sao Paulo, Brazil.
Pérola Quintans de AlmeidaResearch Institute, Hospital Sirio-Libanes, Sao Paulo, Brazil.
Victor José Dornelas MeloLaboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Tatiana de Carvalho Espíndola PinheiroUniversidade Federal de Minas Gerais, Hospital das Clínicas, Serviço de Geriatria e Gerontologia, Belo Horizonte, MG, Brazil.
Raiza Tavares LiraLaboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Ênio Simas MacedoLaboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Mônica Sanches YassudaGerontology, School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil.
Claudia Kimie SuemotoLaboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
CHANGE Study Group

Funding

RESEARCH TRAINING IN GERIATRIC MEDICINET32AG000212 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 1991 to 2026
$7.7M
Alzheimer's Association 23AARFD-1028868NIA NIH HHS T32 AG000212
6 · The paper itself

Abstract

introductionCognitive impairment in hospitalized older adults without delirium is often undiagnosed. We evaluated the diagnostic accuracy and prognostic value of two brief bedside screening tools-the 10-point Cognitive Screener (10-CS) and Short Portable Mental Status Questionnaire (SPMSQ).

methodsMulticenter prospective cohort of 2003 patients ≥65 years of age without delirium, admitted to 43 hospitals in five countries of the Creating a Hospital Assessment Network in Geriatrics (CHANGE) Study. Screening was completed within 48 h of admission. Dementia was defined as informant-based Clinical Dementia Rating ≥1.

resultsDementia prevalence was 22%, with 35% undiagnosed. Both tools showed good accuracy for detecting dementia, with the 10-CS slightly more accurate than SPMSQ (area under the curve [AUC] = 0.87 vs 0.85; p = 0.02). After adjustment, cognitive impairment detected by either tool was associated with increased risk of incident delirium, hospital-associated disability in self-care activities, and 90-day mortality, but not prolonged stay. DISCUSSION: Brief bedside screening identified dementia and predicted adverse outcomes, supporting its integration into routine hospital care.

Indexed as

DementiaAgedAged, 80 and overDeliriumFemaleGeriatric AssessmentHospitalizationHumansMaleNeuropsychological TestsPredictive Value of TestsPrevalencePrognosisProspective Studiesacute carecognitive assessmentcognitive impairmentdeliriumdementiafunctional disabilitygeriatric assessmenthospital caremortalityprognosisrisk stratificationtriage

Identifiers

PMID41856965
PMCPMC13093507

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.