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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
Design:
blinded comparison of MMSE with geriatrician diagnosis of delirium.
Setting:
a hospital in Galway, Republic of Ireland.
Patients:
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.
Description of test:
MMSE was given on day 1 and …
Footnotes
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For correspondence: Dr S O’Keeffe, Galway Regional Hospitals, Galway, Ireland. S.okeeffewhb.ie
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Source of funding: no external funding.