What question did this study set out to answer?

This research aims to evaluate the effectiveness of a brief cognitive screening strategy in older adults admitted through the emergency department.

April 12, 2026Open Access

Two Brief Steps, Better Foresight: Cognitive Screening and Adverse Outcomes in Older Adults Admitted From the Emergency Department

Key Points

This research aims to evaluate the effectiveness of a brief cognitive screening strategy in older adults admitted through the emergency department.
Implemented a two-step screening approach for cognitive impairment and delirium assessment.
Focused on older adults admitted without delirium from the emergency department.
Observed and analyzed adverse outcomes over a 90-day period.
Cognitive impairment was frequently unrecognized in older adults during admission.
Enhanced screening led to better identification of cognitive vulnerabilities.
Improved forecasting of adverse outcomes at the 90-day mark.

Abstract

Cognitive impairment without delirium is common, often unrecognized, and predicts 90-day adverse outcomes in older patients admitted from the ED. A brief staged screening strategy integrating delirium assessment with cognitive impairment testing among delirium-negative patients may enhance early detection of cognitive vulnerability and support care planning.

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