Acute disease induced cognitive dysfunction in older patients
- \(\bf Background:\) It is unknown, how many older hospitalized patients experience cognitive changes independently from delirium. \(\bf Methods:\) In this retrospective study, cognitive function was assessed with the Montreal Cognitive Assessment on admission and discharge in 103 acute care geriatric hospital patients. \(\bf Results:\) Mean age was 80.8 \(\pm\) 7.3 years. The total MoCA score on admission was 17.8 (\(\pm\)4.5) and at discharge 17.7 (\(\pm\)4.4). The mean difference of the total MoCA score was − 0.1 (\(\pm\)3.5). 12 (11.7%) patients suffered from delirium. 46 (44.7%) patients experienced significant changes of cognitive function <− 2 or > 2 MoCA points without delirium. There was no significant association between delirium during hospital stay and the prevalence and magnitude of changes in total MoCA score. \(\bf Conclusion:\) Cognitive changes frequently occur during acute disease of geriatric patients independently from delirium. We propose the term "acute disease induced cognitive dysfunction" (ADICD) for this entity.
| Author: | Rainer WirthORCiDGND, Christiane Nicola KlimekGND, Gero LuegORCiDGND, Maryam PourhassanORCiDGND, Louisa Maria DanielzikGND, Caroline KrügerGND, Ulrike TrampischORCiDGND |
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| URN: | urn:nbn:de:hbz:294-103968 |
| DOI: | https://doi.org/10.1186/s12877-022-03323-w |
| Parent Title (English): | BMC geriatrics |
| Subtitle (English): | an unrecognized syndrome |
| Publisher: | BioMed Central |
| Place of publication: | London |
| Document Type: | Article |
| Language: | English |
| Date of Publication (online): | 2023/11/10 |
| Date of first Publication: | 2022/08/15 |
| Publishing Institution: | Ruhr-Universität Bochum, Universitätsbibliothek |
| Tag: | Open Access Fonds Cognitive function; Delirium; Montreal cognitive assessment; Older; Trajectories |
| Volume: | 22 |
| Issue: | Article 670 |
| First Page: | 670-1 |
| Last Page: | 670-7 |
| Note: | Article Processing Charge funded by the Deutsche Forschungsgemeinschaft (DFG) and the Open Access Publication Fund of Ruhr-Universität Bochum. |
| Institutes/Facilities: | Marienhospital Herne, Klinik für Altersmedizin und Frührehabilitation |
| Dewey Decimal Classification: | Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit |
| open_access (DINI-Set): | open_access |
| Licence (English): |  Creative Commons - CC BY 4.0 - Attribution 4.0 International |
