The goal of this proposal is to implement and test a pragmatic intervention to improve detection of cognitive impairment in older Emergency Department (ED) patients. Cognitive impairment, which increases with age and multimorbidity, is often undetected and persons may not even realize they have impairment. Though assessment for dementia is not traditionally performed in the ED, many patients in the ED are at high risk for dementia, but due to difficulty accessing care, they may not be screened. Identification of patients who may have dementia in the ED would expedite diagnosis and effective management and identify essential patient and caregiver resources. The specific aims of the pilot would be to:1. Evaluate the feasibility of implementing a brief training and assessment program to assess for cognitive impairment and undiagnosed dementia in ED patients. (rates of screening - primary outcome)2. Determine optimal workflow for integration of cognitive impairment screening, consultation, referral, and brain health follow-up in a pilot sample of patients. (secondary outcomes)3. Determine effect sizes required for a large-scale multicenter trial of ED assessment of undiagnosed cognitive impairment
|Effective start/end date||9/1/20 → 6/30/21|
- Yale University (GR111329 (CON-80002700)//5U54AG063546-02 REVISED)
- National Institute on Aging (GR111329 (CON-80002700)//5U54AG063546-02 REVISED)
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