EMOttawa Publication ABSTRACT for SAEM 2014 Title: Performance of the Ottawa 3DY Scale as a Screening Tool for Impaired Mental Status in Elderly Emergency Department Patients Author List: Eagles D, Otal D; Sinha SK; Wells GA; Stiell IG Abstract: Background: Physicians are not adept at recognizing impaired mental status in elderly Emergency Department (ED) patients, a common and serious entity associated with increased morbidity and mortality. The Ottawa 3DY Scale (O3DY) is a 4 question screening tool that has been previously validated in this population. Objectives: The overall objective was to improve screening for impaired mental status in elderly ED patients. More specifically, our goal was to assess 1) level of implementation of the O3DY Scale; 2) prevalence of impaired mental status; 3) classification performance compared with the Mini Mental State Exam (MMSE); and 4) agreement between physician and nurse scores. Methods: We conducted a prospective cohort study enrolling patients ≥ 75 years of age presenting to a tertiary care ED. Patients underwent mental status screening with the O3DY Scale by the bedside nurse and physician. Abnormalities resulted in a comprehensive cognitive evaluation. Descriptive statistics were used to assess level of implementation, prevalence of impaired mental status and sensitivity and specificity compared with the MMSE, using a cutoff of
Posted on: Fri, 07 Mar 2014 14:00:00 +0000
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