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Correlates of cognitive functioning in independent elderly patients discharged home from the emergency department after a minor injury.

Identifieur interne : 000F42 ( Main/Exploration ); précédent : 000F41; suivant : 000F43

Correlates of cognitive functioning in independent elderly patients discharged home from the emergency department after a minor injury.

Auteurs : Marie-Christine Ouellet [Canada] ; Marie-Josée Sirois [Canada] ; Simon Beaulieu-Bonneau [Canada] ; Marie-Ève Gagné [Canada] ; Jacques Morin [Canada] ; Jeffrey Perry [Canada] ; Raoul Daoust [Canada] ; Laura Wilding [Canada] ; Véronique Provencher [Canada] ; Stéphanie Camden [Canada] ; Nadine Allain-Boulé [Canada] ; Marcel Émond [Canada]

Source :

RBID : pubmed:27109177

Descripteurs français

English descriptors

Abstract

BACKGROUND

The objective of this study was to explore correlates of cognitive functioning of older adults visiting the emergency department (ED) after a minor injury.

METHODS

These results are derived from a large prospective study in three Canadian EDs. Participants were aged ≥ 65 years and independent in basic activities of daily living, visiting the ED for minor injuries and discharged home within 48 hours (those with known dementia, confusion, and delirium were excluded). They completed the Montreal Cognitive Assessment (MoCA). Potential correlates included sociodemographic and injury variables, and measures of psychological and physical health, social support, mobility, falls, and functional status.

RESULTS

Multivariate analyses revealed that male sex, age ≥ 85 years, higher depression scores, slower walking speed, and self-reported memory problems were significantly associated with lower baseline MoCA scores.

CONCLUSIONS

These characteristics could help ED professionals identify patients who might need additional cognitive evaluations or follow-ups after their passage through the ED. Obtaining information on these characteristics is potentially feasible in the ED context and could help professionals alter favorably elderly's trajectory of care. Since a significant proportion of elderly patients consulting at an ED have cognitive impairment, the ED is an opportunity to prevent functional and cognitive decline.


DOI: 10.1017/S104161021600065X
PubMed: 27109177


Affiliations:


Links toward previous steps (curation, corpus...)


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<term>Aged, 80 and over (MeSH)</term>
<term>Canada (MeSH)</term>
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<term>Cognition Disorders (psychology)</term>
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<term>Cognition</term>
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<p>
<b>BACKGROUND</b>
</p>
<p>The objective of this study was to explore correlates of cognitive functioning of older adults visiting the emergency department (ED) after a minor injury.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>These results are derived from a large prospective study in three Canadian EDs. Participants were aged ≥ 65 years and independent in basic activities of daily living, visiting the ED for minor injuries and discharged home within 48 hours (those with known dementia, confusion, and delirium were excluded). They completed the Montreal Cognitive Assessment (MoCA). Potential correlates included sociodemographic and injury variables, and measures of psychological and physical health, social support, mobility, falls, and functional status.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Multivariate analyses revealed that male sex, age ≥ 85 years, higher depression scores, slower walking speed, and self-reported memory problems were significantly associated with lower baseline MoCA scores.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
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<p>These characteristics could help ED professionals identify patients who might need additional cognitive evaluations or follow-ups after their passage through the ED. Obtaining information on these characteristics is potentially feasible in the ED context and could help professionals alter favorably elderly's trajectory of care. Since a significant proportion of elderly patients consulting at an ED have cognitive impairment, the ED is an opportunity to prevent functional and cognitive decline.</p>
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<AbstractText Label="BACKGROUND">The objective of this study was to explore correlates of cognitive functioning of older adults visiting the emergency department (ED) after a minor injury.</AbstractText>
<AbstractText Label="METHODS">These results are derived from a large prospective study in three Canadian EDs. Participants were aged ≥ 65 years and independent in basic activities of daily living, visiting the ED for minor injuries and discharged home within 48 hours (those with known dementia, confusion, and delirium were excluded). They completed the Montreal Cognitive Assessment (MoCA). Potential correlates included sociodemographic and injury variables, and measures of psychological and physical health, social support, mobility, falls, and functional status.</AbstractText>
<AbstractText Label="RESULTS">Multivariate analyses revealed that male sex, age ≥ 85 years, higher depression scores, slower walking speed, and self-reported memory problems were significantly associated with lower baseline MoCA scores.</AbstractText>
<AbstractText Label="CONCLUSIONS">These characteristics could help ED professionals identify patients who might need additional cognitive evaluations or follow-ups after their passage through the ED. Obtaining information on these characteristics is potentially feasible in the ED context and could help professionals alter favorably elderly's trajectory of care. Since a significant proportion of elderly patients consulting at an ED have cognitive impairment, the ED is an opportunity to prevent functional and cognitive decline.</AbstractText>
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<LastName>Beaulieu-Bonneau</LastName>
<ForeName>Simon</ForeName>
<Initials>S</Initials>
<Identifier Source="ORCID">0000-0002-9544-5023</Identifier>
<AffiliationInfo>
<Affiliation>Centre interdisciplinaire de recherche en réadaptation et intégration sociale,Québec,QC,Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gagné</LastName>
<ForeName>Marie-Ève</ForeName>
<Initials></Initials>
<AffiliationInfo>
<Affiliation>Centre interdisciplinaire de recherche en réadaptation et intégration sociale,Québec,QC,Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Morin</LastName>
<ForeName>Jacques</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Centre de recherche du CHU de Québec,Québec,QC,Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Perry</LastName>
<ForeName>Jeffrey</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>The Ottawa Hospital,Ottawa,ON,Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Daoust</LastName>
<ForeName>Raoul</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Hôpital du Sacré-Coeur de Montréal,Montréal,QC,Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Wilding</LastName>
<ForeName>Laura</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>The Ottawa Hospital,Ottawa,ON,Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Provencher</LastName>
<ForeName>Véronique</ForeName>
<Initials>V</Initials>
<AffiliationInfo>
<Affiliation>Département de réadaptation,Université Laval,Québec,QC,Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Camden</LastName>
<ForeName>Stéphanie</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Centre de recherche du CHU de Québec,Québec,QC,Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Allain-Boulé</LastName>
<ForeName>Nadine</ForeName>
<Initials>N</Initials>
<AffiliationInfo>
<Affiliation>Centre de recherche du CHU de Québec,Québec,QC,Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Émond</LastName>
<ForeName>Marcel</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Centre de recherche du CHU de Québec,Québec,QC,Canada.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
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<Grant>
<GrantID>CIHR-91752</GrantID>
<Agency>CIHR</Agency>
<Country>Canada</Country>
</Grant>
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<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2016</Year>
<Month>04</Month>
<Day>25</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>England</Country>
<MedlineTA>Int Psychogeriatr</MedlineTA>
<NlmUniqueID>9007918</NlmUniqueID>
<ISSNLinking>1041-6102</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000058" MajorTopicYN="N">Accidental Falls</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
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<MeshHeading>
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<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D002170" MajorTopicYN="N">Canada</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003071" MajorTopicYN="N">Cognition</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003072" MajorTopicYN="N">Cognition Disorders</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
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<DescriptorName UI="D003693" MajorTopicYN="N">Delirium</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
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<MeshHeading>
<DescriptorName UI="D004636" MajorTopicYN="Y">Emergency Service, Hospital</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D057187" MajorTopicYN="Y">Independent Living</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009483" MajorTopicYN="N">Neuropsychological Tests</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010351" MajorTopicYN="Y">Patient Discharge</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="Y">Montreal Cognitive Assessment</Keyword>
<Keyword MajorTopicYN="Y">cognitive status</Keyword>
<Keyword MajorTopicYN="Y">emergency medicine</Keyword>
<Keyword MajorTopicYN="Y">geriatrics</Keyword>
<Keyword MajorTopicYN="Y">minor injury</Keyword>
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</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="entrez">
<Year>2016</Year>
<Month>4</Month>
<Day>26</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2016</Year>
<Month>4</Month>
<Day>26</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2017</Year>
<Month>12</Month>
<Day>12</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">27109177</ArticleId>
<ArticleId IdType="pii">S104161021600065X</ArticleId>
<ArticleId IdType="doi">10.1017/S104161021600065X</ArticleId>
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</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Canada</li>
</country>
</list>
<tree>
<country name="Canada">
<noRegion>
<name sortKey="Ouellet, Marie Christine" sort="Ouellet, Marie Christine" uniqKey="Ouellet M" first="Marie-Christine" last="Ouellet">Marie-Christine Ouellet</name>
</noRegion>
<name sortKey="Allain Boule, Nadine" sort="Allain Boule, Nadine" uniqKey="Allain Boule N" first="Nadine" last="Allain-Boulé">Nadine Allain-Boulé</name>
<name sortKey="Beaulieu Bonneau, Simon" sort="Beaulieu Bonneau, Simon" uniqKey="Beaulieu Bonneau S" first="Simon" last="Beaulieu-Bonneau">Simon Beaulieu-Bonneau</name>
<name sortKey="Camden, Stephanie" sort="Camden, Stephanie" uniqKey="Camden S" first="Stéphanie" last="Camden">Stéphanie Camden</name>
<name sortKey="Daoust, Raoul" sort="Daoust, Raoul" uniqKey="Daoust R" first="Raoul" last="Daoust">Raoul Daoust</name>
<name sortKey="Emond, Marcel" sort="Emond, Marcel" uniqKey="Emond M" first="Marcel" last="Émond">Marcel Émond</name>
<name sortKey="Gagne, Marie Eve" sort="Gagne, Marie Eve" uniqKey="Gagne M" first="Marie-Ève" last="Gagné">Marie-Ève Gagné</name>
<name sortKey="Morin, Jacques" sort="Morin, Jacques" uniqKey="Morin J" first="Jacques" last="Morin">Jacques Morin</name>
<name sortKey="Perry, Jeffrey" sort="Perry, Jeffrey" uniqKey="Perry J" first="Jeffrey" last="Perry">Jeffrey Perry</name>
<name sortKey="Provencher, Veronique" sort="Provencher, Veronique" uniqKey="Provencher V" first="Véronique" last="Provencher">Véronique Provencher</name>
<name sortKey="Sirois, Marie Josee" sort="Sirois, Marie Josee" uniqKey="Sirois M" first="Marie-Josée" last="Sirois">Marie-Josée Sirois</name>
<name sortKey="Wilding, Laura" sort="Wilding, Laura" uniqKey="Wilding L" first="Laura" last="Wilding">Laura Wilding</name>
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</record>

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