Assessment of Dementia in the ED The Assessment of Patients with Dementia – Question
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The desirable feature of any assessment tool is that it is quick and easy to use, and the results are reproducible with high sensitivity and specificity. EDs, by their nature, are not a place in which it is easy to undertake validation studies. As such, there is limited research comparing these tools in an emergency setting.
Look again at the comparison table then answer the following question.
Features of the test Test MMSE 6-CIT GPCOG 7-minutescreen Mini-cog TYM Timetaken(minutes) 7-10 3-4 <4 7 3 5 PositiveLR 6.3 7.3 4.8 4.7 13 6.6 NegativeLR 0.19 0.15 0.22 0.09 0.25 0.07 Personsundertaking the assessment Doctor and patient Doctor and patient Doctor, patient and carer Doctor and patient Doctor and patient Self-administered by the patient Reading and writing skills required Yes No Yes Yes Yes Yes Best possible score 30/30 0/28 15/15 0/181 made up of 4 separate scores 8/8 50/50 Score suggestive of dementia 23/30 8/28 11/15 Each score is summed with a log regression formula to convert to risk of dementia 5/8 42/50 In an ED situation, which tool is the most appropriate to use?
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