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首页> 外文期刊>Dementia and Geriatric Cognitive Disorders Extra >Cognitive Assessment of Elderly Inpatients: A Clinical Audit
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Cognitive Assessment of Elderly Inpatients: A Clinical Audit

机译：老年住院患者的认知评估：临床审核

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Background: Comprehensive geriatric assessment including cognitive assessment results in better outcomes and quality of life through facilitating access to support and further care. The National Audit of Dementia Care revealed too few patients were being assessed for cognition and therefore failing to receive adequate care. Methods: This was a retrospective clinical audit in a district general hospital with systematic sampling of the clinical records of 50 inpatients on an elderly care ward. A descriptive analysis of the results was performed. Results: Despite guidance that cognitive assessment should be performed on admission, this was only documented in 22% of the medical notes. However, this rate improved to 56% by discharge. The most commonly used tool was the Abbreviated Mental Test (AMT) 10. Assessment completion was independent of gender or social support, but only patients aged over 75 years were assessed. Of those, 75% had some level of cognitive impairment and 36.8% received a new or suspected diagnosis of dementia. Discussion: Cognitive assessment rates continue to be low. Our findings support the need for increased education regarding the importance and benefits of assessment as well as how to complete and document the assessment correctly. Conclusion: Cognitive assessment rates need to be further improved to promote better outcomes for patients with dementia.
机译：背景：全面的老年医学评估，包括认知评估，通过促进获得支持和进一步护理的方式，带来了更好的结果和生活质量。老年痴呆症护理国家审核发现，评估认知能力的患者太少，因此未能获得足够的护理。方法：这是在地区综合医院进行的一项回顾性临床审计，对50位住院病人在老年护理病房的临床记录进行系统采样。对结果进行描述性分析。结果：尽管有指导原则，即应在入院时进行认知评估，但仅在22％的医学笔记中有记载。但是，通过放电，该比率提高到56％。最常用的工具是缩写心理测验（AMT）10。评估完成与性别或社会支持无关，但仅评估75岁以上的患者。在这些人中，有75％的人患有某种程度的认知障碍，有36.8％的人接受了新的或可疑的痴呆症诊断。讨论：认知评估率仍然很低。我们的发现支持需要对评估的重要性和益处以及如何正确完成和记录评估进行更多的教育。结论：认知评估率需要进一步提高，以促进痴呆患者获得更好的结果。

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