Emergency department: risk stratification in the elderly

Loddo, Simona; Costaggiu, Diego; Palimodde, Antonella; Cogoni, Elisa; Putzu, Stefano; Serchisu, Luca; Laconi, Rosanna; Scuteri, Angelo; Mandas, Antonella

doi:10.36150/2499-6564-n352

JGG

2021

DOI: 10.36150/2499-6564-n352

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Emergency department: risk stratification in the elderly

Simona Loddo

Diego Costaggiu

Antonella Palimodde

et al.

Abstract: This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en CliniCal GeriatriCs -OriGinal investiGatiOn

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Six-item cognitive impairment test (6-CIT)’s accuracy as a cognitive screening tool: best cut-off levels in emergency department setting

Salis,

Pili,

Collu

et al. 2023

Front. Med.

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BackgroundNowadays, elderly patients represent a significant number of accesses to the Emergency Department (ED). Working rhythms do not allow to perform complete cognitive analysis, which would, however, be useful for the health care. This study aims to define the optimal cut-off values of the six-item Cognitive Impairment Test (6-CIT) as a cognitive screening tool in ED.MethodsThis study included 215 subjects, evaluated at the Emergency Department of the University Hospital of Monserrato, Cagliari, Italy, from July to December 2021. The accuracy of 6-CIT as a cognitive screening tool was assessed by comparison with Mini Mental State Examination (MMSE).ResultsThe correlation coefficient between the two tests was −0.836 (CI: −0.87 to −0.79; p < 0.0001), and 6-CIT showed AUC = 0.947 (CI: 0.908–0.973; p < 0.0001). The 8/9 6-CIT cut-off score presented 86.76% sensitivity (CI: 76.4–93.8) and 91.84% specificity (CI: 86.2–95.7), and Youden index for this score was 0.786.ConclusionOur study demonstrates that 6-CIT is a reliable cognitive screening tool in ED, offering excellent sensitivity and specificity with a 8/9 points cut-off score.

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Six-item cognitive impairment test (6-CIT)’s accuracy as a cognitive screening tool: best cut-off levels in emergency department setting

Salis,

Pili,

Collu

et al. 2023

Front. Med.

Self Cite

View full text Add to dashboard Cite

show abstract

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Emergency department: risk stratification in the elderly

Cited by 1 publication

References 24 publications

Six-item cognitive impairment test (6-CIT)’s accuracy as a cognitive screening tool: best cut-off levels in emergency department setting

Six-item cognitive impairment test (6-CIT)’s accuracy as a cognitive screening tool: best cut-off levels in emergency department setting

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