Screening Older Adults for Cognitive Impairment Clinical Practice Guideline-Screening Older Adults for Cognitive Impairment Clinical Practice Guideline

Screening Older Adults for Cognitive Impairment Clinical Practice Guideline

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The document discusses the clinical practice guideline for screening older adults for cognitive impairment in the emergency department. The guideline emphasizes the need for valid and reliable assessment tools. Several assessment tools are discussed, including the MMSE, 4AT, AD8, AMT4, BAS, BPQ, CAM, DTS, MOTYB, Nu-DESC, O3DY, and PrEDICT. The performance of these tools is evaluated in different studies. The Ottawa 3DY and SBT showed moderate sensitivity and specificity, while the bCAM had moderate accuracy in diagnosing delirium. The O3DY-F was useful for screening delirium and cognitive impairment in a French-speaking population. However, further research is needed to improve accuracy. The literature review identified 35 studies that evaluated screening tools, such as the MMSE, MoCA, CAM, and SPMSQ. The tools showed good sensitivity and specificity, but the choice may depend on the population and context. The quality of evidence varied, so further research is needed to understand effectiveness and feasibility. Screening tools can be effective, but healthcare providers should consider each tool's characteristics and limitations.

Meta Tag

cognitive impairment altered mental status

cognitive impairment dementia

cognitive impairment delirium

cognitive impairment alzheimer's

cognitive impairment AMS

cognitive impairment confusion

cognitive impairment disorientation

cognitive impairment screening

cognitive impairment risk assessment tools

cognitive impairment measures

cognitive impairment evaluation

cognitive impairment emergency department

cognitive impairment emergency room

cognitive impairment ED

cognitive impairment ER

cognitive impairment accident and emergency

cognitive impairment A & E

cognitive impairment emergency care center

cognitive impairment ECC

Keywords

clinical practice guideline

screening older adults

cognitive impairment

assessment tools

MMSE

CAM

delirium

French-speaking population

research

sensitivity