| Autor: |
Armin Nowroozpoor, Jeff Dussetschleger, William Perry, Mary Sano, Amy Aloysi, Michael Belleville, Alexandria Brackett, Jon Mark Hirshon, William Hung, Joan Michelle Moccia, Ugochi Ohuabunwa, Manish N. Shah, Ula Hwang, Neelum Aggarwal, M. Fernanda Bellolio, Marian (Emmy) Betz, Kevin Biese, Cynthia Brandt, Stacey Bruursema, Ryan Carnahan, Christopher R. Carpenter, David Carr, Jennie Chin-Hansen, Morgan Daven, Nida Degesys, Scott M. Dresden, Michael Ellenbogen, Jason Falvey, Beverly Foster, Cameron Gettel, Andrea Gilmore-Bykovskyi, Elizabeth Goldberg, Jin Han, James Hardy, S. Nicole Hastings, Teresita Hogan, Eric Isaacs, Naveena Jaspal, Jerry Johnson, Kathleen Kelly, Maura Kennedy, Amy Kind, Michael Malone, Monica Moreno, Nancy Morrow-Howell, Brenda Oiyemhonlan, Jason Resendez, Kristin L. Rising, Bob Savage, Joe Suyama, Jeremy Swartzberg, Vaishal Tolia, Allan Vann, Teresa Webb, Sandra Weintraub |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Journal of the American Medical Directors Association. 23(8) |
| ISSN: |
1538-9375 |
| Popis: |
To identify research and practice gaps to establish future research priorities to advance the detection of cognitive impairment and dementia in the emergency department (ED).Literature review and consensus-based rankings by a transdisciplinary, stakeholder task force of experts, persons living with dementia, and care partners.Scoping reviews focused on adult ED patients.Two systematic scoping reviews of 7 medical research databases focusing on best tools and approaches for detecting cognitive impairment and dementia in the ED in terms of (1) most accurate and (2) most pragmatic to implement. The results were screened, reviewed, and abstracted for relevant information and presented at the stakeholder consensus conference for discussion and ranked prioritization.We identified a total of 1464 publications and included 45 to review for accurate tools and approaches for detecting cognitive impairment and dementia. Twenty-seven different assessments and instruments have been studied in the ED setting to evaluate cognitive impairment and dementia, with many focusing on sensitivity and specificity of instruments to screen for cognitive impairment. For pragmatic tools, we identified a total of 2166 publications and included 66 in the review. Most extensively studied tools included the Ottawa 3DY and Six-Item Screener (SIS). The SIS was the shortest to administer (1 minute). Instruments with the highest negative predictive value were the SIS (vs MMSE) and the 4 A's Test (vs expert diagnosis). The GEAR 2.0 Advancing Dementia Care Consensus conference ranked research priorities that included the need for more approaches to recognize more effectively and efficiently persons who may be at risk for cognitive impairment and dementia, while balancing the importance of equitable screening, purpose, and consequences of differentiating various forms of cognitive impairment.The scoping review and consensus process identified gaps in clinical care that should be prioritized for research efforts to detect cognitive impairment and dementia in the ED setting. These gaps will be addressed as future GEAR 2.0 research funding priorities. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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