These findings by Sharon Inouye, M.D., M.P.H., director of the Aging Brain Center at Hebrew SeniorLife and Professor of Medicine, Division of Gerontology, Beth Israel Deaconess Medical Center, Harvard Medical School, identified symptoms, such as disorientation, forgetfulness and an inability to follow directions, that may go undetected except by those individuals – such as family members – who know the patient well enough to notice the changes. A report of Dr. Inouye's findings, "Recoverable Cognitive Dysfunction at Hospital Admission in Older Persons," will appear in the December issue of the Journal of General Internal Medicine (JGIM).
"Acute illness can represent a life-altering event for an older person, yet the impact of acute illness on cognitive functioning has not been systematically examined," Dr. Inouye said. "Understanding a patient's cognitive functioning is also necessary for developing effective and appropriate discharge planning."
According to Dr. Inouye's paper, no previous studies exist that establish just how much change in cognitive function regularly occurs in older patients or how it impacts their care. The subtle cognitive decline that she examined is referred to as recoverable cognitive dysfunction (RCD) and is determined by the results of a questionnaire called the
Mini-Mental State Examination (MMSE), a brief, standardized method used to assess cognitive status. "MMSE assesses orientation, attention, immediate and short-term recall, language, and the ability to follow simple verbal and written commands," Dr. Inouye said. "Furthermore, it provides a total score that places the individual on a scale of cognitive function."
Dr. Inouye's study revealed very high rates of RCD in the patients they surveyed (39%), as well as identified predictors for incidence of the condition. Predictors included higher educational level, high level of functional impairment at admission, and high severity of illness.
"We propose that all older adults should be considered at risk and screened for RCD when hospitalized with an acute illness," she said. "In addition, interventions need to be developed and put in place to prevent or treat the condition."
Jennifer Davis | EurekAlert!
Antarctic Ice Sheet mass loss has increased
14.06.2018 | Technische Universität Dresden
WAKE-UP provides new treatment option for stroke patients | International study led by UKE
17.05.2018 | Universitätsklinikum Hamburg-Eppendorf
In a recent publication in the renowned journal Optica, scientists of Leibniz-Institute of Photonic Technology (Leibniz IPHT) in Jena showed that they can accurately control the optical properties of liquid-core fiber lasers and therefore their spectral band width by temperature and pressure tuning.
Already last year, the researchers provided experimental proof of a new dynamic of hybrid solitons– temporally and spectrally stationary light waves resulting...
Scientists from the University of Freiburg and the University of Basel identified a master regulator for bone regeneration. Prasad Shastri, Professor of...
Moving into its fourth decade, AchemAsia is setting out for new horizons: The International Expo and Innovation Forum for Sustainable Chemical Production will take place from 21-23 May 2019 in Shanghai, China. With an updated event profile, the eleventh edition focusses on topics that are especially relevant for the Chinese process industry, putting a strong emphasis on sustainability and innovation.
Founded in 1989 as a spin-off of ACHEMA to cater to the needs of China’s then developing industry, AchemAsia has since grown into a platform where the latest...
The BMBF-funded OWICELLS project was successfully completed with a final presentation at the BMW plant in Munich. The presentation demonstrated a Li-Fi communication with a mobile robot, while the robot carried out usual production processes (welding, moving and testing parts) in a 5x5m² production cell. The robust, optical wireless transmission is based on spatial diversity; in other words, data is sent and received simultaneously by several LEDs and several photodiodes. The system can transmit data at more than 100 Mbit/s and five milliseconds latency.
Modern production technologies in the automobile industry must become more flexible in order to fulfil individual customer requirements.
An international team of scientists has discovered a new way to transfer image information through multimodal fibers with almost no distortion - even if the fiber is bent. The results of the study, to which scientist from the Leibniz-Institute of Photonic Technology Jena (Leibniz IPHT) contributed, were published on 6thJune in the highly-cited journal Physical Review Letters.
Endoscopes allow doctors to see into a patient’s body like through a keyhole. Typically, the images are transmitted via a bundle of several hundreds of optical...
13.06.2018 | Event News
08.06.2018 | Event News
05.06.2018 | Event News
22.06.2018 | Materials Sciences
22.06.2018 | Earth Sciences
22.06.2018 | Life Sciences