International journal of geriatric psychiatry
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Int J Geriatr Psychiatry · Apr 2001
Delirium in the non-demented oldest old in the general population: risk factors and prognosis.
The oldest old are prone to develop delirium. Studies into risk factors for delirium have been carried out predominantly in younger age groups. The aim of this population-based follow-up study was to investigate the risk factors for delirium requiring medical attention and subsequent prognosis in the non-demented general population aged > or = 85 years. ⋯ Mild cognitive impairment and high systolic blood pressure were found to be risk factors for delirium requiring medical attention in the general non-demented population aged > or = 85 years. The study also highlights the significant association between delirium and a new dementia diagnosis in this age group.
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Int J Geriatr Psychiatry · Apr 2001
Validating mini-mental status, cognitive capacity screening and Hamilton depression scales utilizing subjects with vascular headaches.
The Mini-Mental State Examination (MMSE) and Cognitive Capacity Screening Examination (CCSE) are easily and rapidly administered tests for quantifying the general cognitive status of young as well as geriatric subjects. Likewise, the Hamilton Depression Rating Scale (HDRS) is a brief instrument for quantifying depression that may confound cognitive test performances. Testing by means of all three scales concurrently provides useful information for longitudinal research among the elderly. ⋯ CCSE is reliable and more sensitive than MMSE for detecting cognitive decline.
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Int J Geriatr Psychiatry · Apr 2001
Acute confusional state in the elderly following hip surgery: incidence, risk factors and complications.
To determine incidence and risk factors for the development of postoperative acute confusional state (ACS) in the elderly. ⋯ ACS is common among elderly hip surgery patients. The occurrence of ACS is influenced by several predisposing and precipitating factors. Further knowledge of these risk factors will contribute to the early identification of high risk patients and to the development of preventive measures.
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Int J Geriatr Psychiatry · Dec 2000
Depression and the response of residential homes to physical health needs.
To investigate the response of residential homes to four specific health problems of residents and the relationship between the quality of this response and the prevalence of depression. ⋯ The response of home staff and community health professionals to physical health needs in residential homes is variable and should be improved. This study suggests that improving this aspect of care provision might reduce depression and thus improve quality of life.