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- Johansson, Yvonne A., 1956-, et al.
(författare)
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Assessment of cognitive function and delirium - Lack of clinical routines
- 2018
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Konferensbidrag (refereegranskat)abstract
- Introduction: Cognitive impairment and delirium are often unidentified in hospitalized patients. Despite the fact that 40 % of all cases of delirium might be prevented, national guidelines are missing in Sweden. Study aim was to examine the routines about assessing cognitive function and delirium in a university hospital and a county hospital in Sweden.Methods: A web based questionnaire was developed and distributed to 58 managers. The questionnaire addressed routines for identifying cognitive impairment and delirium in clinical practice, for instance which assessment tools, and which terms were used.Results: The response rate was 43 % (25/58) equally distributed for nurses and physicians managers (43 and 44 %). Study findings showed that structured assessment of cognitive function and delirium were missing. Twelve managers (48 %) had established routines for assessment of cognitive function and seven (28 %) for assessment of delirium. It was unclear how the assessments were performed. Most common was free descriptions based on varying questions. Assessment tools and the term delirium were rarely used. Conclusion: Established routines of assessing cognitive function and delirium are missing. Validated rapid clinical assessment tools for cognitive function and delirium are needed as well as consensus to use the term “delirium”.
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- Tsevis, Theofanis
(författare)
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Alcohol consumption and cognition
- 2024
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- There is evidence that alcohol consumption is increasing in recent decades, including both male and female older individuals. Excessive alcohol use can affect various functions, of which alcohol-related liver failure and cancer have mostly been the subject of research so far. However, it can also cause brain damage and cognitive impairment. At the same time, population aging also has an increased rate, which poses major challenges to the health care systems regarding age-related diseases such as cognitive impairment and dementia. In that work, we try to identify the role of alcohol in the clinical and demographic profile of individuals with mild cognitive impairment, investigate whether there are specific biomarkers for alcohol-related cognitive impairment in radiological imaging and performance on neuropsychological tests, and finally assess the diagnostic accuracy and clinical applicability of a specific screening instrument for delirium, which is a common condition among older individuals with cognitive impairment.
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