Assessment and clinical implications of cognitive impairment in acutely ill geriatric patients using a revised simplified short-term memory recall test (STMT-R)
Background Cognitive dysfunction due to delirium or dementia is a common finding in acutely ill geriatric patients, but often remains undetected. A brief and sensitive clinical identification method could prevent errors or complications while evaluating the mental status of elderly patients. Aims To...
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| Veröffentlicht in: | Aging clinical and experimental research 2019-03, Vol.31 (3), p.345-351 |
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| creator | Yamamoto, Hiroshi Ogawa, Kenichi Huaman Battifora, Henry Yamamuro, Kaori Ishitake, Tatsuya |
| description | Background
Cognitive dysfunction due to delirium or dementia is a common finding in acutely ill geriatric patients, but often remains undetected. A brief and sensitive clinical identification method could prevent errors or complications while evaluating the mental status of elderly patients.
Aims
To evaluate the usefulness and clinical implications of the revised simplified short-term memory recall test (STMT-R) in geriatric patients admitted in the emergency department; with age, gender, dementia history, serum albumin, underlying diseases and clinical outcome used as comparative factors.
Methods
Mini–mental state examination and STMT-R scores were initially compared and a positive correlation was observed (
r
= 0.66,
p
|
| doi_str_mv | 10.1007/s40520-018-0969-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2045268854</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2349120002</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-33aafe9b450bc3f99e58cdbbfbe18ba51b549f4c45bbd6f362948fd8d90b10bf3</originalsourceid><addsrcrecordid>eNp1kc2OFCEUhYnROOPoA7gxJG7GRSlQVBcsJ5PxJxljou2aAAUtEwpaLjVJvY2PKj09_sTEFRfud8694SD0nJLXlJDxDXAyMNIRKjoiN7JbH6BTOrYX0VP58K_6BD0BuCGE03Z5jE6YHOXImDhFPy4AHMDsUsU6TdjGkILVEYd5H1tRQ06As8c271Ko4dYdOjqUO0VIWNulurjiECPeuRJ0LcHifRM2APACIe2wxsXdBnAThjtfHw7lt1xqV12Z8ezmXNYGtckRVwcVn3_Zftx2n189RY-8juCe3Z9n6Ovbq-3l--7607sPlxfXne1HVru-19o7afhAjO29lG4QdjLGG0eF0QM1A5eeWz4YM218v2GSCz-JSRJDifH9GTo_-u5L_r60DdQcwLoYdXJ5AcUIH9hGiIE39OU_6E1eSmrbKdZzSRkhhDWKHilbMkBxXu1LmHVZFSXqEJ86xqdafOoQn1qb5sW982JmN_1W_MqrAewIQGul9t9_Rv_f9SeMjKnf</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2349120002</pqid></control><display><type>article</type><title>Assessment and clinical implications of cognitive impairment in acutely ill geriatric patients using a revised simplified short-term memory recall test (STMT-R)</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Yamamoto, Hiroshi ; Ogawa, Kenichi ; Huaman Battifora, Henry ; Yamamuro, Kaori ; Ishitake, Tatsuya</creator><creatorcontrib>Yamamoto, Hiroshi ; Ogawa, Kenichi ; Huaman Battifora, Henry ; Yamamuro, Kaori ; Ishitake, Tatsuya</creatorcontrib><description>Background
Cognitive dysfunction due to delirium or dementia is a common finding in acutely ill geriatric patients, but often remains undetected. A brief and sensitive clinical identification method could prevent errors or complications while evaluating the mental status of elderly patients.
Aims
To evaluate the usefulness and clinical implications of the revised simplified short-term memory recall test (STMT-R) in geriatric patients admitted in the emergency department; with age, gender, dementia history, serum albumin, underlying diseases and clinical outcome used as comparative factors.
Methods
Mini–mental state examination and STMT-R scores were initially compared and a positive correlation was observed (
r
= 0.66,
p
< 0.001). Subsequently, 885 inpatients aged over 50 years underwent STMT-R evaluation between October 2014 and September 2015. We considered as cognitive dysfunction STMT-R scores ≤ 4 of a maximum score of 8.
Results
Among enrolled patients, 52.2% were female and the mean age was 78.9 years. There were 159 patients who were unable to complete the test (incomplete testing group). We observed cognitive dysfunction in 460 patients, while 266 did not have cognitive dysfunction. There were significant differences between those with and without cognitive dysfunction in terms of age, dementia history, underlying respiratory diseases, and hospital outcome.
Conclusion
Cognitive dysfunction at admission can have a negative effect on the hospital outcomes of elderly patients. Age, a history of dementia and underlying respiratory diseases may also influence cognitive functional decline.</description><identifier>ISSN: 1720-8319</identifier><identifier>ISSN: 1594-0667</identifier><identifier>EISSN: 1720-8319</identifier><identifier>DOI: 10.1007/s40520-018-0969-y</identifier><identifier>PMID: 29797228</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Age ; Aged ; Aged, 80 and over ; Cognitive Dysfunction - diagnosis ; Critical Illness ; Cross-Sectional Studies ; Dementia ; Female ; Geriatric Assessment ; Geriatrics ; Geriatrics/Gerontology ; Hospital Mortality ; Humans ; Length of Stay ; Male ; Medicine ; Medicine & Public Health ; Memory, Short-Term ; Mental Recall ; Mental Status and Dementia Tests ; Original Article ; Respiratory diseases</subject><ispartof>Aging clinical and experimental research, 2019-03, Vol.31 (3), p.345-351</ispartof><rights>Springer International Publishing AG, part of Springer Nature 2018</rights><rights>Aging Clinical and Experimental Research is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-33aafe9b450bc3f99e58cdbbfbe18ba51b549f4c45bbd6f362948fd8d90b10bf3</citedby><cites>FETCH-LOGICAL-c372t-33aafe9b450bc3f99e58cdbbfbe18ba51b549f4c45bbd6f362948fd8d90b10bf3</cites><orcidid>0000-0002-5605-7298</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40520-018-0969-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40520-018-0969-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29797228$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamamoto, Hiroshi</creatorcontrib><creatorcontrib>Ogawa, Kenichi</creatorcontrib><creatorcontrib>Huaman Battifora, Henry</creatorcontrib><creatorcontrib>Yamamuro, Kaori</creatorcontrib><creatorcontrib>Ishitake, Tatsuya</creatorcontrib><title>Assessment and clinical implications of cognitive impairment in acutely ill geriatric patients using a revised simplified short-term memory recall test (STMT-R)</title><title>Aging clinical and experimental research</title><addtitle>Aging Clin Exp Res</addtitle><addtitle>Aging Clin Exp Res</addtitle><description>Background
Cognitive dysfunction due to delirium or dementia is a common finding in acutely ill geriatric patients, but often remains undetected. A brief and sensitive clinical identification method could prevent errors or complications while evaluating the mental status of elderly patients.
Aims
To evaluate the usefulness and clinical implications of the revised simplified short-term memory recall test (STMT-R) in geriatric patients admitted in the emergency department; with age, gender, dementia history, serum albumin, underlying diseases and clinical outcome used as comparative factors.
Methods
Mini–mental state examination and STMT-R scores were initially compared and a positive correlation was observed (
r
= 0.66,
p
< 0.001). Subsequently, 885 inpatients aged over 50 years underwent STMT-R evaluation between October 2014 and September 2015. We considered as cognitive dysfunction STMT-R scores ≤ 4 of a maximum score of 8.
Results
Among enrolled patients, 52.2% were female and the mean age was 78.9 years. There were 159 patients who were unable to complete the test (incomplete testing group). We observed cognitive dysfunction in 460 patients, while 266 did not have cognitive dysfunction. There were significant differences between those with and without cognitive dysfunction in terms of age, dementia history, underlying respiratory diseases, and hospital outcome.
Conclusion
Cognitive dysfunction at admission can have a negative effect on the hospital outcomes of elderly patients. Age, a history of dementia and underlying respiratory diseases may also influence cognitive functional decline.</description><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cognitive Dysfunction - diagnosis</subject><subject>Critical Illness</subject><subject>Cross-Sectional Studies</subject><subject>Dementia</subject><subject>Female</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Geriatrics/Gerontology</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Memory, Short-Term</subject><subject>Mental Recall</subject><subject>Mental Status and Dementia Tests</subject><subject>Original Article</subject><subject>Respiratory diseases</subject><issn>1720-8319</issn><issn>1594-0667</issn><issn>1720-8319</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc2OFCEUhYnROOPoA7gxJG7GRSlQVBcsJ5PxJxljou2aAAUtEwpaLjVJvY2PKj09_sTEFRfud8694SD0nJLXlJDxDXAyMNIRKjoiN7JbH6BTOrYX0VP58K_6BD0BuCGE03Z5jE6YHOXImDhFPy4AHMDsUsU6TdjGkILVEYd5H1tRQ06As8c271Ko4dYdOjqUO0VIWNulurjiECPeuRJ0LcHifRM2APACIe2wxsXdBnAThjtfHw7lt1xqV12Z8ezmXNYGtckRVwcVn3_Zftx2n189RY-8juCe3Z9n6Ovbq-3l--7607sPlxfXne1HVru-19o7afhAjO29lG4QdjLGG0eF0QM1A5eeWz4YM218v2GSCz-JSRJDifH9GTo_-u5L_r60DdQcwLoYdXJ5AcUIH9hGiIE39OU_6E1eSmrbKdZzSRkhhDWKHilbMkBxXu1LmHVZFSXqEJ86xqdafOoQn1qb5sW982JmN_1W_MqrAewIQGul9t9_Rv_f9SeMjKnf</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Yamamoto, Hiroshi</creator><creator>Ogawa, Kenichi</creator><creator>Huaman Battifora, Henry</creator><creator>Yamamuro, Kaori</creator><creator>Ishitake, Tatsuya</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5605-7298</orcidid></search><sort><creationdate>20190301</creationdate><title>Assessment and clinical implications of cognitive impairment in acutely ill geriatric patients using a revised simplified short-term memory recall test (STMT-R)</title><author>Yamamoto, Hiroshi ; Ogawa, Kenichi ; Huaman Battifora, Henry ; Yamamuro, Kaori ; Ishitake, Tatsuya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-33aafe9b450bc3f99e58cdbbfbe18ba51b549f4c45bbd6f362948fd8d90b10bf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cognitive Dysfunction - diagnosis</topic><topic>Critical Illness</topic><topic>Cross-Sectional Studies</topic><topic>Dementia</topic><topic>Female</topic><topic>Geriatric Assessment</topic><topic>Geriatrics</topic><topic>Geriatrics/Gerontology</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Memory, Short-Term</topic><topic>Mental Recall</topic><topic>Mental Status and Dementia Tests</topic><topic>Original Article</topic><topic>Respiratory diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamamoto, Hiroshi</creatorcontrib><creatorcontrib>Ogawa, Kenichi</creatorcontrib><creatorcontrib>Huaman Battifora, Henry</creatorcontrib><creatorcontrib>Yamamuro, Kaori</creatorcontrib><creatorcontrib>Ishitake, Tatsuya</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Aging clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamamoto, Hiroshi</au><au>Ogawa, Kenichi</au><au>Huaman Battifora, Henry</au><au>Yamamuro, Kaori</au><au>Ishitake, Tatsuya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment and clinical implications of cognitive impairment in acutely ill geriatric patients using a revised simplified short-term memory recall test (STMT-R)</atitle><jtitle>Aging clinical and experimental research</jtitle><stitle>Aging Clin Exp Res</stitle><addtitle>Aging Clin Exp Res</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>31</volume><issue>3</issue><spage>345</spage><epage>351</epage><pages>345-351</pages><issn>1720-8319</issn><issn>1594-0667</issn><eissn>1720-8319</eissn><abstract>Background
Cognitive dysfunction due to delirium or dementia is a common finding in acutely ill geriatric patients, but often remains undetected. A brief and sensitive clinical identification method could prevent errors or complications while evaluating the mental status of elderly patients.
Aims
To evaluate the usefulness and clinical implications of the revised simplified short-term memory recall test (STMT-R) in geriatric patients admitted in the emergency department; with age, gender, dementia history, serum albumin, underlying diseases and clinical outcome used as comparative factors.
Methods
Mini–mental state examination and STMT-R scores were initially compared and a positive correlation was observed (
r
= 0.66,
p
< 0.001). Subsequently, 885 inpatients aged over 50 years underwent STMT-R evaluation between October 2014 and September 2015. We considered as cognitive dysfunction STMT-R scores ≤ 4 of a maximum score of 8.
Results
Among enrolled patients, 52.2% were female and the mean age was 78.9 years. There were 159 patients who were unable to complete the test (incomplete testing group). We observed cognitive dysfunction in 460 patients, while 266 did not have cognitive dysfunction. There were significant differences between those with and without cognitive dysfunction in terms of age, dementia history, underlying respiratory diseases, and hospital outcome.
Conclusion
Cognitive dysfunction at admission can have a negative effect on the hospital outcomes of elderly patients. Age, a history of dementia and underlying respiratory diseases may also influence cognitive functional decline.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>29797228</pmid><doi>10.1007/s40520-018-0969-y</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-5605-7298</orcidid></addata></record> |
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| ispartof | Aging clinical and experimental research, 2019-03, Vol.31 (3), p.345-351 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Age Aged Aged, 80 and over Cognitive Dysfunction - diagnosis Critical Illness Cross-Sectional Studies Dementia Female Geriatric Assessment Geriatrics Geriatrics/Gerontology Hospital Mortality Humans Length of Stay Male Medicine Medicine & Public Health Memory, Short-Term Mental Recall Mental Status and Dementia Tests Original Article Respiratory diseases |
| title | Assessment and clinical implications of cognitive impairment in acutely ill geriatric patients using a revised simplified short-term memory recall test (STMT-R) |
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