STUDY OBJECTIVES: We determine the effect of screening examinations for @entity73 on the care of elderly @entity1 in the emergency department and prospectively assess recognition of @entity73 by emergency physicians. METHODS: We performed a prospective cross-sectional study. @entity1 were 70 years of age or older and presented to an urban teaching hospital @entity2613 over a 17-month period. @entity73 screening comprised the Orientation Memory Concentration examination for @entity73 and the Confusion Assessment Method for @entity933 . Emergency physicians who were blinded to the @entity1 's screening results were interviewed to assess recognition of @entity73 , dispositions, and referrals. Results of @entity73 screens were then given to emergency physicians, and emergency physicians were reinterviewed regarding any change in care. RESULTS: Two hundred seventy-one of the 327 eligible @entity1 were enrolled. Seventy-four (27%; 95% confidence interval [CI] 22% to 33%) @entity1 had impaired mental status. Nineteen (7%; 95% CI 4% to 11%) had @entity933 , and 55 (20%; 95% CI 16% to 25%) had @entity73 without @entity933 . @entity73 was recognized in only 28 (38%; 95% CI 27% to 50%) of 74 @entity1 : 3 (16%; 95% CI 3% to 40%) of 19 with @entity933 and 25 (46%; 95% CI 32% to 59%) of 55 with @entity73 without @entity933 . Emergency physicians altered management in none of the study @entity1 on the basis of survey results. Five (26%; 95% CI 9% to 51%) of the 19 @entity1 with @entity933 were discharged to home. Of these 5 @entity1 discharged to home with unrecognized @entity933 , 1 presented with fall, 2 returned 3 days later and required hospitalization, and 1 with a history of @entity694 was given a new diagnosis of @entity3 4 days after the initial @entity2613 visit. CONCLUSION: @entity73 is highly prevalent in older @entity2613 @entity1 . There is a lack of recognition by emergency physicians of @entity73 in this group. Screening tools for @entity73 in the @entity2613 did not substantially alter the care of elderly @entity1 with @entity73 .

The effect of mental status screening on the care of elderly emergency department XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive impairment', 'mental status impairment', 'Mental status impairment'] @entity2613 :: ('MESH:C536181', 'Disease') :: ['ED'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastatic disease'] @entity933 :: ('MESH:D003693', 'Disease') :: ['delirium'] @entity694 :: ('MESH:D003110', 'Disease') :: ['colon cancer']
@entity1 :: (9606,Species) :: ['patients']
