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A decrease of ⩾2 points on the Mini-Mental State Examination was the best determinant of delirium in elderly patients admitted to hospital

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 Q In elderly patients admitted to hospital, are serial Mini-Mental State Examinations (MMSEs) accurate for diagnosing delirium?

Clinical impact ratings Internal medicine ★★★★★★☆ Geriatrics ★★★★★☆☆

METHODS

Embedded ImageDesign:

blinded comparison of MMSE with geriatrician diagnosis of delirium.

Embedded ImageSetting:

a hospital in Galway, Republic of Ireland.

Embedded ImagePatients:

165 patients who were ⩾65 years of age (mean age 79 y, 46% women) and were admitted to hospital from the accident and emergency department. 36 patients had dementia. The most common diagnoses were respiratory (n = 68), cardiovascular (n = 35), gastrointestinal (n = 20), and cerebrovascular (n = 19). Exclusion criteria: severe aphasia or deafness, poor prognosis, or hospital stay <6 days.

Embedded ImageDescription of test:

MMSE was given on day 1 and …

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Footnotes

  • For correspondence: Dr S O’Keeffe, Galway Regional Hospitals, Galway, Ireland. S.okeeffewhb.ie

  • Source of funding: no external funding.