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Dementia screening in acute medical and geriatric hospital admissions

  • Alison Gordon (a1), Hilda Hu (a2), Anthony Byrne (a3) and David J. Stott (a4)
Abstract
Aims and Method

We studied a representative cohort of 161 patients over 65 years of age, admitted non-electively to medical and geriatric wards of a large teaching hospital. Assessment for dementia was made using DSM–IV criteria. Psychiatric records were then examined, masked, to determine the involvement of psychogeriatric services.

Results

There were 111 possible cases of dementia (69%), of which 30 (27%) had prior local psychogeriatric case notes; in 22 cases (20%) the patient had a prior psychiatric diagnosis of dementia. of 161 patients, 19 (12%) were seen by psychogeriatric services during their admission, of whom 12 (7%) were already known to psychiatric services. Dementia was diagnosed in 17 (complicated by delirium in 2), depression in 1 and hypomania in 1. Many patients with a possible diagnosis of dementia had no psychiatric assessment.

Clinical Implications

Psychogeriatric assessment was performed on a minority of older people admitted to medical care. This population may include older people with undiagnosed dementia and unmet psychiatric care needs.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). APA.
Folstein, M. F., Folstein, S. E. & McHUGH, P. R. (1975) Mini Mental State: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198.
Jorm, A. F. & Jolley, D. (1998) The incidence of dementia: a metanalysis. Neurology, 51, 728733.
Laurila, J.V., Pitkala, K. H., Strandberg, T. E., et al (2004) Detection and documentation of dementia and delirium in acute geriatric wards. General Hospital Psychiatry, 26, 3135.
Royal College of Psychiatrists (2005) Who Cares Wins. Royal College of Psychiatrists.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Dementia screening in acute medical and geriatric hospital admissions

  • Alison Gordon (a1), Hilda Hu (a2), Anthony Byrne (a3) and David J. Stott (a4)
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