PRINCIPLE 1: Cognitive screening
Patients aged 65 years and over will be screened for confusion on admission or within 24 hours of admission using a validated screening tool.
Resources and useful links
This section provides links to recommended cognitive screening tools and other resources to support cognitive screening of older people with confusion presenting to hospital.
Further information about screening tools
CHOPs cognitive assessment presentation (Powerpoint), including descriptions of key screening tools
Cognitive assessment for Aboriginal and Torres Strait Islander peoples, including information about the Kimberley Indigenous Cognitive Assessment (KICA) tool for Indigenous Australians (45 years plus).
The Dementia Outcome Measurement Suite – a range of cognitive screening and dementia assessment tools for health professionals.
List of publications
Reports of studies of cognitive screening/assessment of older people in hospitals.
- Cognitive Assessment in the Elderly: a Review of Clinical MethodsWoodford HJ & George J (2007). Q J Med 2007; 100:469–484 doi:10.1093/qjmed/hcm051.
http://qjmed.oxfordjournals.org/content/100/8/469.full.pdf+html - Comprehensive Geriatric Assessment for Older Adults Admitted to Hospital: Meta-analysis of Randomised Controlled TrialsEllis, G,Whitehead, MA., Robinson D , O’Neill D., Langhorne P (2011). BMJ 2011;343:d6553.
http://www.bmj.com/content/343/bmj.d6553.pdf%2Bhtml - Prospective Cohort Study of Adverse Events in Older People Admitted to the Acute General Hospital: Risk Factors and the Impact of Dementiahttp://onlinelibrary.wiley.com/doi/10.1002/gps.2693/pdf
- Six-Item Screener to Identify Cognitive Impairment Among Potential Subjects for Clinical Research Callahan CC, Unverzagt FW, Hui SL, Perkins AJ, Hendrie HC (2002). MEDICAL CARE Volume 40, Number 9, pp 771–781.
https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.581.3274&rep=rep1&type=pdf