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Dementia screening in acute medical and geriatric hospital admissions
Author(s)Alison Gordon, Hilda Hu, Anthony Byrne
Journal titlePsychiatric Bulletin, vol 33, no 2, February 2009
Pagespp 52-54
Sourcehttp://pb.rcpsych.org
KeywordsDementia ; Screening ; Admission [hospitals] ; Medical wards ; Geriatric units ; Evaluation.
AnnotationThe authors studied a representative cohort of 161 patients over 65 years of age, admitted non-electively to medical and geriatric wards of a large teaching hospital. Assessment for dementia was made using DSM-IV criteria. Psychiatric records were then examined, masked, to determine the involvement of psychogeriatric services. There were 111 possible cases of dementia (69%), of which 30 (27%) had prior local psychogeriatric case notes; in 22 cases (20%) the patient had a prior psychiatric diagnosis of dementia. Of 161 patients, 19 (12%) were seen by psychogeriatric services during their admission, of whom 12 (7%) were already known to psychiatric services. Dementia was diagnosed in 17 (complicated by delirium in 2), depression in 1 and hypomania in 1. Many patients with a possible diagnosis of dementia had no psychiatric assessment. Psychogeriatric assessment was performed on a minority of older people admitted to medical care. This population may include older people with undiagnosed dementia and unmet psychiatric care needs. (KJ/RH).
Accession NumberCPA-100225201 A
ClassmarkEA: 3V: LD:QKH: LD4: LDB: 4C

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