Cognitive decline and dementia in elderly medical inpatients remain underestimated and underdiagnosed in a recently established university general hospital in Greece

Archives of Gerontology and Geriatrics

Volumn 50, Issue 2, 2010, Pages 147-150

  Douzenis, Athanasios ^a   Michopoulos, Ioannis ^a   Gournellis, Rossetos ^a   Christodoulou, Christos ^a   Kalkavoura, Christina ^a   Michalopoulou, Panayiota G ^a   Fineti, Katerina ^a   Patapis, Paulos ^a   Protopapas, Konstantinos ^a   Lykouras, Lefteris ^a  

^a UNIVERSITY OF ATHENS MEDICAL SCHOOL   (Greece)

Author keywords

Clock drawing test; Cognitive decline; Elderly inpatients; General hospital; Underestimation of cognitive decline

Indexed keywords

AGED; ARTICLE; COGNITIVE DEFECT; CONTROLLED STUDY; DEMENTIA; DIAGNOSTIC ACCURACY; FEMALE; GENERAL HOSPITAL; GREECE; HOSPITAL PATIENT; HUMAN; MAJOR CLINICAL STUDY; MALE; MINI MENTAL STATE EXAMINATION; PREVALENCE; PRIORITY JOURNAL; STRUCTURED CLINICAL INTERVIEW FOR DSM DISORDERS;

AGED; CATCHMENT AREA (HEALTH); COGNITION DISORDERS; DEMENTIA; FEMALE; GREECE; HOSPITALS, GENERAL; HOSPITALS, UNIVERSITY; HUMANS; INPATIENTS; LENGTH OF STAY; MALE; NEUROPSYCHOLOGICAL TESTS; PATIENT ADMISSION; REFERRAL AND CONSULTATION; SEVERITY OF ILLNESS INDEX;

EID: 74449088490     PISSN: 01674943     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.archger.2009.03.001     Document Type: Article

References (21)

1. Argyriadou S., Melissopoulou H., Krania E., Karagiannidou A., Vlachonicolis I., and Lionis C. Dementia and depression: two frequent disorders of the aged in primary health care in Greece. Fam Pract. 18 (2001) 87-91
2. Bickel H., Cooper B., and Wancata J. Psychiatric disorders in elderly general hospital patients: incidence and long-term prognosis. Nervenarzt 64 (1993) 53-61 (in German)
3. Campbell S., and Howe A. Use of acute hospitals by the elderly: how much and where do they go?. Aust. Health Rev. 12 (1989) 61-71
4. Campbell S.E., Seymour D.G., Primrose W.R., and ACMEPLUS Project. A systematic literature review of factors affecting outcome in older medical patients admitted to hospital. Age Ageing 33 (2004) 110-115
5. Campbell P., Wright J., Oyebode J., Job D., Crome P., Bentham P., Jones L., and Lendon C. Determinants of burden in those who care for someone with dementia. Int. J. Geriatr. Psychiatry 23 (2008) 1078-1085 (Epub ahead of print)
6. Copeland J.R., Dewey M.E., Wood N., Searle R., Davidson I.A., and McWilliam C. Range of mental illness among the elderly in the community. Prevalence in Liverpool using the GMS-AGECAT package. Br. J. Psychiatry 150 (1987) 815-823
7. First M.B., Spitzer R.Z., Gibbon M., and William J.B. Structured Clinical Inter-view for DSM-IV Axis I Disorders, Clinical Version (SCID-IV) (1997), American Psychiatric Press, Washington, DC
8. Folstein M.F., Folstein S.E., and McHugh P.R. "Mini-mental state": a practical method for grading the cognitive state of patients for the clinician. J. Psychiatr. Res. 12 (1975) 189-198
9. Health Information Department (Director: Z. Haklai). 2001. Health in Israel, Selected Data. Ministry of Health, Israel.
10. Landefeld C.S., Palmer R.M., Kresevic D.M., Fortinsky R.H., and Kowal J. A randomized trial of care in a hospital medical unit especially designed to improve the functional outcomes of acutely ill older patients. N. Engl. J. Med. 332 (1995) 1338-1344
11. Lledo R., Martin E., Jimenez C., Roca R., Gil A., Godoy E., Trilla A., Grau J., and Asenjo M.A. Characteristics of elderly inpatients at high risk of needing supportive social and health care. Eur. J. Epidemiol. 13 (1997) 903-907
12. Lyketsos C.G., Sheppard J.M., and Rabins P.V. Dementia in elderly persons in a general hospital. Am. J. Psychiatry 157 (2000) 704-707
13. Neugoschl J.A., Kolevzon A., Samuels S.C., and Marin D.B. Dementia. In: Sadock B.J., and Sadock V.A. (Eds). Comprehensive Textbook of Psychiatry (2005), Lippincott Williams and Wilkins, Philadelphia 1079-1085
14. Raina P., Santaguida P., Ismaila A., Patterson C., Cowan D., Levine M., Booker L., and Oremus M. Effectiveness of cholinesterase inhibitors and memantine for treating dementia: evidence review for a clinical practice guideline. Ann. Intern. Med. 148 (2008) 379-397
15. Saravay S.M., and Lavin M. Psychiatric comorbidity and length of stay in the general hospital: a critical review of outcome studies. Psychosomatics 35 (1994) 233-252
16. Schmidt R., Kienbacher E., Benke T., Dal-Bianco P., Delazer M., Ladurner G., Jellinger K., Marksteiner J., Ransmayr G., Schmidt H., Stögmann E., Friedrich J., and Wehringer C. Sex differences in Alzheimer's disease. Neuropsychiatry 22 (2008) 1-15
17. Schuckit M.A., Miller P.L., and Hahlbohm D. Unrecognized psychiatric illness in elderly medical-surgical patients. J. Gerontol. 30 (1975) 655-660
18. Shulman K., Shedletsky K., and Silver I. The challenge of time. Clock drawing and cognitive function in the elderly. Int. J. Geriat. Psychiatry 1 (1986) 135-140
19. Uwakwe R. Psychiatric morbidity in elderly patients admitted to non-psychiatric wards in a general/teaching hospital in Nigeria. Int. J. Geriatr. Psychiatry 15 (2000) 346-354
20. Wang X.P., and Ding H.L. Alzheimer's disease: epidemiology, genetics, and beyond. Neurosci. Bull. 24 (2008) 105-109
21. Zhang B., Mitchell S.L., Bambauer K.Z., Jones R., and Prigerson H.G. Depres-sive symptom trajectories and associated risks among bereaved Alzheimer disease caregivers. Am. J. Geriatr Psychiatry 16 (2008) 145-155 (Epub Jan 11, 2008)