Evaluating attention in delirium: A comparison of bedside tests of attention.

Abstract:

AIM:Impaired attention is a core diagnostic feature for delirium. The present study examined the discriminating properties for patients with delirium versus those with dementia and/or no neurocognitive disorder of four objective tests of attention: digit span, vigilance "A" test, serial 7s subtraction and months of the year backwards together with global clinical subjective rating of attention. METHODS:This as a prospective study of older patients admitted consecutively in a general hospital. Participants were assessed using the Confusion Assessment Method, Delirium Rating Scale-98 Revised and Montreal Cognitive Assessment scales, and months of the year backwards. Pre-existing dementia was diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders fourth edition criteria. RESULTS:The sample consisted of 200 participants (mean age 81.1 ± 6.5 years; 50% women; pre-existing cognitive impairment in 126 [63%]). A total of 34 (17%) were identified with delirium (Confusion Assessment Method +). The five approaches to assessing attention had statistically significant correlations (P < 0.05). Discriminant analysis showed that clinical subjective rating of attention in conjunction with the months of the year backwards had the best discriminatory ability to identify Confusion Assessment Method-defined delirium, and to discriminate patients with delirium from those with dementia and/or normal cognition. Both of these approaches had high sensitivity, but modest specificity. CONCLUSION:Objective tests are useful for prediction of non-delirium, but lack specificity for a delirium diagnosis. Global attentional deficits were more indicative of delirium than deficits of specific domains of attention. Geriatr Gerontol Int 2016; 16: 1028-1035.

journal_name

Geriatr Gerontol Int

authors

Adamis D,Meagher D,Murray O,O'Neill D,O'Mahony E,Mulligan O,McCarthy G

doi

10.1111/ggi.12592

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

1028-35

issue

9

eissn

1444-1586

issn

1447-0594

journal_volume

16

pub_type

杂志文章
  • Hospital treatment in residential care facilities is a viable alternative to hospital admission for selected patients.

    abstract:AIM:To determine if hospital treatment in residential care facilities, led by a geriatric team, might be a viable alternative to inpatient admission for selected patients. METHODS:Case series with a new intervention were compared with historical controls receiving the conventional treatment. Treatment in residential c...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/j.1447-0594.2012.00910.x

    authors: Lau L,Chong CP,Lim WK

    更新日期:2013-04-01 00:00:00

  • Serum levels of albumin-amyloid beta complexes are decreased in Alzheimer's disease.

    abstract:AIM:Decreased amyloid β (Aβ) clearance from the brain to blood might play a key role in the development of Alzheimer's disease (AD). Aβ is normally bound to and transported by albumin in blood, thus possibly maintaining constant concentration of free Aβ in the blood. We therefore hypothesized that decreased blood level...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.12147

    authors: Yamamoto K,Shimada H,Koh H,Ataka S,Miki T

    更新日期:2014-07-01 00:00:00

  • Poor correlation between handgrip strength and isokinetic performance of knee flexor and extensor muscles in community-dwelling elderly women.

    abstract:AIM:To investigate the correlation between handgrip strength and performance of knee flexor and extensor muscles determined using an isokinetic dynamometer in community-dwelling elderly women. METHODS:This was a cross-sectional study. Sample selection for the study was made by convenience, and 221 (71.07 ± 4.93 years)...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章,多中心研究

    doi:10.1111/ggi.12077

    authors: Felicio DC,Pereira DS,Assumpção AM,de Jesus-Moraleida FR,de Queiroz BZ,da Silva JP,de Brito Rosa NM,Dias JM,Pereira LS

    更新日期:2014-01-01 00:00:00

  • Age-related changes in plasma androgen levels and their association with cardiovascular risk factors in male Japanese office workers.

    abstract:AIM:To assess the age-related change in plasma androgen levels in healthy middle-aged men and whether any clinical parameters are associated with the hormonal change. METHODS:The study was comprised of male Japanese office-workers aged 40-64 years, who had undergone an annual health check-up in 2002 and 2007 (96 and 7...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/j.1447-0594.2009.00552.x

    authors: Fukai S,Akishita M,Miyao M,Ishida K,Toba K,Ouchi Y

    更新日期:2010-01-01 00:00:00

  • Impact of consumer-directed care on quality of life in the community aged care sector.

    abstract:AIM:All consumer-directed care (CDC) models aim to transfer "choice" and "control" over the allocated funds from the aged care provider to service recipients. This study presents an empirical assessment of the relationships between quality of life for older adults aged ≥65 years receiving community aged care services i...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章,多中心研究

    doi:10.1111/ggi.12872

    authors: Bulamu N,Kaambwa B,Gill L,Cameron I,McKechnie S,Fiebig J,Grady R,Ratcliffe J

    更新日期:2017-10-01 00:00:00

  • Early case-fatality rates in elderly stroke patients do not increase when age increases.

    abstract:AIM:We studied the association between age and survival after stroke. We particularly focused on deaths that could be attributed to the stroke lesion itself; that is, early death in severe stroke. METHODS:A registry of all hospitalized stroke patients in Denmark included 93897 patients with information on stroke sever...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章,多中心研究

    doi:10.1111/ggi.12165

    authors: Dehlendorff C,Andersen KK,Olsen TS

    更新日期:2014-10-01 00:00:00

  • Effect of physical exercise and medication on enhancing cognitive function in older adults with vascular risk.

    abstract:AIM:To examine the association of physical exercise (PE) and medication on cognitive function in older adults with vascular risk. METHODS:This was a cross-sectional study of 478 non-demented participants aged ≥60 years with vascular risk. Management strategy included PE (mind-body exercise and/or strenuous exercise), ...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.14048

    authors: Fung AW

    更新日期:2020-11-01 00:00:00

  • Determining the optimal value of the Geriatric Nutritional Risk Index to screen older patients with malnutrition risk: A study at a university hospital in Japan.

    abstract:AIM:The Geriatric Nutritional Risk Index (GNRI) can predict nutritional risk. However, just a few studies have validated the optimal cut-off value of GNRI for nutrition screening in older patients. Hence, this study aimed to determine the optimal value of GNRI to screen the risk of malnutrition among older patients. M...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.13976

    authors: Ishida Y,Maeda K,Nonogaki T,Shimizu A,Yamanaka Y,Matsuyama R,Kato R,Ueshima J,Mori N

    更新日期:2020-09-01 00:00:00

  • Relationship among urinary advanced glycation-end products, skeletal muscle mass and physical performance in community-dwelling older adults.

    abstract:AIM:Advanced glycation end-products are important factors in muscle function and physical performance among older adults. However, the association between sarcopenia and urinary carboxymethyl-lysine (uCML) levels remains unclear. The present study aimed to investigate the relationship among uCML levels, skeletal muscle...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.13762

    authors: Yang CW,Li CI,Liu CS,Lin CH,Lin WY,Li TC,Lin CC

    更新日期:2019-10-01 00:00:00

  • Dementia and Alzheimer's disease risks in patients with autoimmune disorders.

    abstract:AIM:To investigate an association between autoimmune disorders (AID) and hospitalization for dementia and Alzheimer's disease, and to study whether the risk is associated with follow-up time and age. METHODS:We followed up all individuals in Sweden without previous hospital admission for dementia and Alzheimer's disea...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.13488

    authors: Li X,Sundquist J,Zöller B,Sundquist K

    更新日期:2018-09-01 00:00:00

  • Norwegian General Motor Function assessment as an outcome measure for a frail elderly population: A validity study.

    abstract:AIM:To establish the validity of the Norwegian General Motor Function (NGMF) assessment scale. METHOD:To establish construct and criteria validity, Spearman's rank correlation coefficients were calculated for the NGMF, and age, sex, medical conditions, history of falls and to four functional tests. Content validity wa...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.12491

    authors: Langhammer B,Lindmark B

    更新日期:2016-04-01 00:00:00

  • Evaluation of delirium in elderly: a hospital-based study.

    abstract:AIM:The study aimed to study the prevalence, etiologies, clinical profile and outcome of delirium in hospitalized elderly in medicine wards. METHODS:  Four hundred elderly patients of more than 60years of age admitted with delirium in the emergency and medicine wards of Sir Sunderlal Hospital Varanasi, India, were eva...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/j.1447-0594.2011.00710.x

    authors: Khurana V,Gambhir IS,Kishore D

    更新日期:2011-10-01 00:00:00

  • Cut-offs for calf circumference as a screening tool for low muscle mass: WASEDA'S Health Study.

    abstract:AIM:To re-evaluate the suitability of calf circumference as a surrogate marker of low muscle mass measured by both bioelectrical impedance analysis (BIA) and dual-energy X-ray absorptiometry (DXA). We also examined the effects of obesity and age on low muscle mass screening using calf circumference. METHODS:In total, ...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.14025

    authors: Kawakami R,Miyachi M,Sawada SS,Torii S,Midorikawa T,Tanisawa K,Ito T,Usui C,Ishii K,Suzuki K,Sakamoto S,Higuchi M,Muraoka I,Oka K

    更新日期:2020-10-01 00:00:00

  • Polypharmacy is associated with frailty in Japanese community-dwelling older adults.

    abstract:AIM:The association between polypharmacy and the development of frailty is unknown. The present study assessed the longitudinal relationship between polypharmacy and frailty risk in Japanese community-dwelling older adults. METHODS:Participants included 299 non-frail older Japanese adults aged 65-81 years who particip...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.13507

    authors: Yuki A,Otsuka R,Tange C,Nishita Y,Tomida M,Ando F,Shimokata H

    更新日期:2018-10-01 00:00:00

  • Peripheral T-cell lymphoma presenting as myelofibrosis with the expression of basic fibroblast growth factor.

    abstract::Myelofibrosis is often observed in chronic myeloproliferative disorders (CMPD), but non-Hodgkin's lymphoma with diffuse myelofibrosis is rare. We describe an elderly case with peripheral T-cell lymphoma-unspecified (PTCL) presenting as diffuse myelofibrosis. Bone marrow biopsy revealed infiltration of atypical lymphoc...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/j.1447-0594.2009.00556.x

    authors: Kikukawa M,Umahara T,Kikawada M,Kanaya K,Sakurai H,Shin K,Mori M,Iwamoto T

    更新日期:2009-12-01 00:00:00

  • Effects of a community disability prevention program for frail older adults at 48-month follow up.

    abstract:AIM:The present prospective study was carried out to determine whether participation in community-based intervention studies exerted a positive impact on disability prevention in older adults with physical frailty. METHODS:A total of 514 community-dwelling older adults (aged ≥65 years) with physical frailty who had un...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.13072

    authors: Makizako H,Shimada H,Doi T,Tsutumimoto K,Yoshida D,Suzuki T

    更新日期:2017-12-01 00:00:00

  • Sarcopenia as a predictor of activities of daily living capability in stroke patients undergoing rehabilitation.

    abstract:AIM:The aim of the present study was to clarify the relationship between sarcopenia, as defined by the European Working Group on Sarcopenia in Older People, and the recovery of the capability to carry out activities of daily living in convalescent stroke patients who completed a rehabilitation program. METHODS:This re...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.13780

    authors: Matsushita T,Nishioka S,Taguchi S,Yamanouchi A

    更新日期:2019-11-01 00:00:00

  • Videoendoscopic evaluation of food bolus preparation: A comparison between normal adult dentates and older adult dentates.

    abstract:AIM:Food bolus preparation plays an important role in swallowing food. The ability to carry out oral functions varies with age, and the same might be true of the ability to prepare food boluses. Previously developed methods for assessing food bolus preparation were not able to evaluate swallowed boluses; that is, the b...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.12697

    authors: Matsuno K,Nohara K,Fukatsu H,Tanaka N,Fujii N,Sasao Y,Sakai T

    更新日期:2017-02-01 00:00:00

  • Screening for dementia: Brazilian version of the Informant Questionnaire on Cognitive Decline on the Elderly and its psychometric properties.

    abstract:AIM:To assess the criterion validity of the Brazilian version of the Informant Questionnaire on Cognitive Decline on the Elderly (IQCODE-BR), and analyze the influence of educational level and age of both the elderly and the informants on the questionnaire scores. METHOD:The study design was a cross-sectional study wi...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/j.1447-0594.2012.00966.x

    authors: Sanchez MA,Lourenço RA

    更新日期:2013-07-01 00:00:00

  • Association between heart diseases, social factors and physical frailty in community-dwelling older populations: The septuagenarians, octogenarians, nonagenarians investigation with centenarians study.

    abstract:AIM:Heart diseases and social factors are associated with physical frailty, but there are few studies of older people living in the community. Consequently, the aim of this study was to examine the association between heart diseases, social factors and physical frailty in community-dwelling older populations including ...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.14002

    authors: Klinpudtan N,Kabayama M,Gondo Y,Masui Y,Akagi Y,Srithumsuk W,Kiyoshige E,Godai K,Sugimoto K,Akasaka H,Takami Y,Takeya Y,Yamamoto K,Ikebe K,Yasumoto S,Ogawa M,Inagaki H,Ishizaki T,Rakugi H,Kamide K

    更新日期:2020-10-01 00:00:00

  • Genetic association of BIN1 and GAB2 in Alzheimer's disease: A meta-analysis and systematic review.

    abstract:AIM:Heredity plays an important role in the pathogenesis of Alzheimer's disease (AD) especially for single-nucleotide polymorphism (SNPs) of susceptible genes, which is one of the significant factors in the pathogenesis of AD. The SNPs of BIN1 rs744373, BIN1 rs7561528 and GAB2 rs2373115 are associated with AD in Asian ...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.14109

    authors: Hao X,Wang A,Li C,Shao L,Li Y,Yang P

    更新日期:2020-12-16 00:00:00

  • Self-reported exhaustion associated with physical activity among older adults.

    abstract:AIM:Self-reported exhaustion (SE) is a clinical complaint that is associated with a wide range of chronic diseases. However, the association of SE with physical activity, physical function or cognitive function among the older adult Japanese population is unclear. The present study aimed to determine the prevalence of ...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.12528

    authors: Tsutsumimoto K,Doi T,Shimada H,Makizako H,Yoshida D,Uemura K,Anan Y,Park H,Suzuki T

    更新日期:2016-05-01 00:00:00

  • Type of underlying fracture after the surgical treatment of geriatric trauma patients has no effect on mortality during intensive care treatment.

    abstract:AIM:Due to demographic change, the number of geriatric patients is still rising. Although hip fractures are the subject of current research, little is known about the remaining geriatric trauma entities. The aim of this study was to collect data of the age-related traumatological intensive care unit (ICU) population, i...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.14053

    authors: Knauf T,Jensen KO,Hack J,Barthel J,Althaus H,Buecking B,Aigner R,Knobe M,Ruchholtz S,Eschbach D

    更新日期:2020-12-01 00:00:00

  • Inflammatory hypothesis as a link between Alzheimer's disease and diabetes mellitus.

    abstract:AIMS:The aim of the present study was to evaluate whether there was an inflammation-mediated link between Alzheimer's disease (AD) and type 2 diabetes mellitus (DM) status. METHODS:An age-matched control group and patient groups designated as AD without treatment (AD); AD under cholinesterase inhibitors (AD-CEI); DM w...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.12602

    authors: Bozluolcay M,Andican G,Fırtına S,Erkol G,Konukoglu D

    更新日期:2016-10-01 00:00:00

  • Using two different algorithms to determine the prevalence of sarcopenia.

    abstract:AIM:Several operative definitions and screening methods for sarcopenia have been proposed in previous studies; however, the opinions of researchers still differ. We compared the prevalence of sarcopenia using two different algorithms: (i) the European working group on sarcopenia in older people (EWGSOP)-suggested algor...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.12210

    authors: Yoshida D,Suzuki T,Shimada H,Park H,Makizako H,Doi T,Anan Y,Tsutsumimoto K,Uemura K,Ito T,Lee S

    更新日期:2014-02-01 00:00:00

  • Longitudinal study of regional cerebral blood flow in elderly patients with idiopathic rapid eye movement sleep behavior disorder.

    abstract:AIM:Single photon emission computed tomography (SPECT) studies showed that regional cerebral blood flow (rCBF) abnormalities in idiopathic rapid eye movement (REM) sleep behavior disorder (iRBD) are similar to those seen in Parkinson's disease (PD) and dementia with Lewy bodies (DLB). The aim of the present study was t...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.12068

    authors: Sakurai H,Hanyu H,Inoue Y,Kanetaka H,Nakamura M,Miyamoto T,Sasai T,Iwamoto T

    更新日期:2014-01-01 00:00:00

  • Relationship between fear of falling and mobility varies with visual function among older adults.

    abstract:AIM:The present study examined the association between vision, fear of falling and fear-related activity restriction, and assessed the effect of vision on the relationship between fear of falling and mobility, using data from a nationally representative sample of community-dwelling adults aged ≥ 50 years. METHODS:Part...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/ggi.12174

    authors: Donoghue OA,Ryan H,Duggan E,Finucane C,Savva GM,Cronin H,Loughman J,Kenny RA

    更新日期:2014-10-01 00:00:00

  • What is a common factor in different areas?: The case of depression among caregivers of the frail elderly in Sapporo and Kochi, Japan.

    abstract:AIM:Depression affecting caregivers is a risk factor for discontinuing at-home care. The present cross-sectional study was conducted to evaluate factors related to depression among family caregivers. METHODS:A cross-sectional study was conducted to evaluate factors related to depression among family caregivers of the ...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/j.1447-0594.2011.00754.x

    authors: Oura A,Mori M,Yasuda N,Miyano I,Izumi H,Washio M

    更新日期:2012-04-01 00:00:00

  • Physical and functional factors in activities of daily living that predict falls in community-dwelling older women.

    abstract:AIM:In order to propose rehabilitation strategies for the reduction of falls risk, thereby preventing falls in older women, the present study was designed to explore the physical and functional factors related to actual incidence of falls. METHODS:Fifty-eight female patients aged 65 years and older (mean age ± standar...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/j.1447-0594.2010.00685.x

    authors: Aoyama M,Suzuki Y,Onishi J,Kuzuya M

    更新日期:2011-07-01 00:00:00

  • Effects of cognitive function and depressive mood on the quality of life in Chinese Alzheimer's disease patients in Hong Kong.

    abstract:AIM:In view of the paucity of data on the quality of life (QOL) in Chinese Alzheimer's disease (AD) patients, we investigated the effects of cognitive function and depressive mood on QOL among our Chinese AD patients in Hong Kong, using the Cantonese Chinese version of Quality of Life in Alzheimer's disease (QOL-AD). ...

    journal_title:Geriatrics & gerontology international

    pub_type: 杂志文章

    doi:10.1111/j.1447-0594.2010.00643.x

    authors: Chan IW,Chu LW,Lee PW,Li SW,Yu KK

    更新日期:2011-01-01 00:00:00