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Study of Screening for Cognitive Impairment in Hospitals
Posted: Tuesday, April 24, 2012 12:30 AM
Joined: 12/6/2011
Posts: 3326

From Alzheimer's Daily News:

(Source: Indiana University) - Neither screening for cognitive impairment nor screening followed by computerized alerts improved patient outcome according to a study of hospitalized patients with cognitive impairment.

The study, conducted by researchers from the Regenstrief Institute and Indiana University School of Medicine, screened 998 older adults for cognitive impairment within 48 hours of admission to the hospital. Approximately 40 percent were found to have cognitive impairment and were enrolled in the study.


Dr. Malaz reported: "Our study determined that screening for cognitive impairment (CI) and providing information to physicians on the best care for patients with cognitive impairment is not the solution to improving care that we seek. We need to consider ways to tackle the difficult task of altering physician behavior. Nationwide, 40 percent of hospitalized older adults have CI, and six out of 10 of these cases are unrecognized. But with the negative findings of this study, we see that we need to think beyond screening; it's not enough.


"If the next step after screening is computerized reminders, we also found that these reminders need to be personalized to both the physician and the patient," said Dr. Boustani.


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