'Alert and Oriented × 3?' Correlates of Mini-Cog Performance in a Post/Nondelirious Intensive Care Unit Sample
| Autor: | Jeff Jennings, Mark W. Ketterer, Lenar Yessayan, Yathreb Alaali |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent MEDLINE 030204 cardiovascular system & hematology Neuropsychological Tests law.invention 03 medical and health sciences Young Adult 0302 clinical medicine Cog Arts and Humanities (miscellaneous) law Medicine Memory impairment Humans 030212 general & internal medicine Young adult Association (psychology) Applied Psychology Aged Aged 80 and over business.industry Reproducibility of Results Middle Aged Intensive care unit Memory problems Cognitive test Psychiatry and Mental health Intensive Care Units Memory Short-Term Female business Cognition Disorders Clinical psychology |
| Zdroj: | Psychosomatics. 57(2) |
| ISSN: | 1545-7206 |
| Popis: | Background Cognitive impairment has been found to be a predictor of adverse medical outcomes, including nonadherence, recurrent medical crises resulting in early readmissions, and death. Objective The Mini-Cog has been proposed for bedside/clinic cognitive testing. Its validity as a measure of central nervous system (CNS) impairment has never been tested against measures of CNS-medical history, CNS scans, selected laboratory findings, observed in-hospital nondelirious memory impairment, or collateral history from family. Methods We observed Mini-Cog performance in 107 post/nondelirious medical intensive care unit patients and tested its association with age, CNS-medical history, CNS scans, selected laboratory findings, and behavioral history (in-hospital observation of memory problems and collateral history from family or significant others). Results The overall Mini-Cog covaried with age, various measures of CNS impairment, abnormal laboratory findings, and measures of preadmission "forgetfulness" per family and by in-hospital staff observation. Unique variance in predicting overall Mini-Cog scores included age, positive CNS scan, and behavioral history. Of 91 patients found to be "alert and oriented × 3," 76% were impaired in immediate memory, short-term memory, or clock drawing. Conclusions The Mini-Cog appears to be a brief, yet valid, measure of CNS dysfunction that significantly enhances sensitivity of evaluation at the bedside. Failure to evaluate patients with a formal examination like the Mini-Cog appears to miss up to 76% of patients with moderate cognitive impairment. |
| Databáze: | OpenAIRE |
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