The use of the Digit Span Test in screening for cognitive impairment in acute medical inpatients

International Psychogeriatrics

Volumn 23, Issue 10, 2011, Pages 1569-1574

  Leung, Jess L M ^a   Lee, Gary T H ^a   Lam, Y H ^a   Chan, Ray C C ^a   Wu, Jimmy Y M ^b  

^a UNITED CHRISTIAN HOSPITAL   (Hong Kong)

^b Haven of Hope Hospital   (Hong Kong)

Author keywords

attention deficit; delirium; dementia; geriatric

Indexed keywords

AGED; ARTICLE; COGNITIVE DEFECT; CONTROLLED STUDY; DELIRIUM; DEMENTIA; DIAGNOSTIC VALUE; DIFFERENTIAL DIAGNOSIS; FINGER SPAN TEST; GERIATRIC PATIENT; HOSPITAL PATIENT; HUMAN; MAJOR CLINICAL STUDY; MEDICAL DOCUMENTATION; MENTAL TEST; MINI MENTAL STATE EXAMINATION; NEUROLOGIC EXAMINATION; PATIENT IDENTIFICATION; PREVALENCE; PSYCHOMETRY; RECEIVER OPERATING CHARACTERISTIC; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; VALIDITY;

AGED; AGED, 80 AND OVER; COGNITION DISORDERS; DELIRIUM; DEMENTIA; DIAGNOSIS, DIFFERENTIAL; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; FEMALE; HONG KONG; HUMANS; INPATIENTS; MALE; MASS SCREENING; NEUROPSYCHOLOGICAL TESTS; SENSITIVITY AND SPECIFICITY;

EID: 80455145307     PISSN: 10416102     EISSN: 1741203X     Source Type: Journal    
DOI: 10.1017/S1041610211000792     Document Type: Article

References (18)

1. American Psychiatric Association (1994).Diagnostic and Statistical Manual of Mental Disorders, 4th edn. Washington, DC: American Psychiatric Association.
2. Bhat, R. and Rockwood, K. (2007).Delinum as a disorder of consciousness. Journal of Neurology, Neurosurgery and Psyhiatry, 78, 1167-1170.
3. Brown, L. J. E., McGrory, S., McLaren, L., Starr, J. M., Deary, I. J. and MacLullich, A. M. J. (2009).Cognitive visual perceptual deficits in patients with delirium. Journal of Neurology, Neurosurgery and Psychiatry, 80, 594-599.
4. Chiu, H. F. K, Lee, H. C., Chung, W. S. and Kwong, P. K. (1994).Reliability and validity of the Cantonese version of the Mini-Mental State Examination: a preliminary study. Journal of Hong Kong College of Psychiatrists, 4 (Suppl. 2), 25-28.
5. Cole, M. G. (2004).Delirium in elderly patients. American Journal of Geriatric Psychiatry, 12, 7-21.
6. Creditor, M. C. (1993).Hazards of hospitalization of the elderly. Annals of Internal Medicine, 118, 219-223.
7. Gaudreau, J. D., Gagnon, P., Harel, F., Tremblay, A. and Roy, M. A. (2005).Fast, systematic, and continuous delirium assessment in hospitalized patients: the Nursing Delirium Screening Scale. Journal of Pain and Symptom Management, 29, 368-375.
8. Harwood, D. M. J.,Hope, T. and Jacoby, R. (1997).Cognitive impairment in medical inpatients: I. Screening for dementia - is history better than mental state? Age and Ageing, 26, 31-35.
9. Jorm, A. F. (2004).The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): a review. International Psychogeriatrics, 16, 275-293.
10. Kakuma, R. et al. (2003).Delirium in older emergency department patients discharged home: effect on survival. Journal of the American Geriatrics Society, 51, 443-450.
11. Leung, J. L. M., Leung, V. C. W., Leung, C. M. and Pan, P. C. (2008).Clinical utility and validation of two instruments (the Confusion Assessment Method Algorithm and the Chinese version of Nursing Delirium Screening Scale) to detect delirium in geriatric inpatients. General Hospital Psychiatry, 30, 171-176.
12. Lindesay, J. et al. (2010).Delirium. In D. Ames, E. Chiu, J. Lindesay, K. I. Shulman (eds.), Cambridge Guide to Old Age Psychiatry (pp. 47-56).Cambridge: Cambridge University Press.
13. Lowery, D., Wesnes, K. and Ballard, C. G. (2007).Subtle attentional deficits in the absence of dementia are associated with an increased risk of post-operative delirium. Dementia and Geriatric Cognitive Disorder, 23, 390-394.
14. Meagher, D. J. et al. (2007).Phenomenology of delirium: assessment of 100 adult cases using standardized measures. British Journal of Psychiatry, 190, 135-141.
15. Meagher, D. J., Leonard, M., Donnelly, S., Conroy, M., Saunders, J. and Trzepacz, P. T. (2010).A comparison of neuropsychiatric and cognitive profiles in delirium, dementia, comorbid delirium-dementia and cognitively intact controls. Journal of Neurology, Neurosurgery and Psychiatry, 81, 876-881.
16. O'Keeffe, S. T. and Gosney, M. A. (1997).Assessing attentiveness in older hospital patients: global assessment versus tests of attention. Journal of the American Geriatrics Society, 45, 470-473.
17. Sampson, E. L., Blanchard, M. R., Jones, L., Tookman, A. and King, M. (2009).Dementia in the acute hospital: prospective cohort study of prevalence and mortality. British Journal of Psychiatry, 195, 61-66.
18. Siddiqi, N., House, A.O. and Holmes, J.D. (2006).Occurrence and outcome of delirium in medical in-patients: a systematic literature review. Age and Ageing, 35, 350-364.