@article{3145178,
    title = "Cognitive decline and dementia in elderly medical inpatients remain
underestimated and underdiagnosed in a recently established university
general hospital in Greece",
    author = "Douzenis, Athanasios and Michopoulos, Ioannis and Gournellis, Rossetos and and Christodoulou, Christos and Kalkavoura, Christina and Michalopoulou, and Panayiota G. and Fineti, Katerina and Patapis, Paulos and Protopapas, and Konstantinos and Lykouras, Lefteris",
    journal = "Archives of Gerontology and Geriatrics",
    year = "2010",
    volume = "50",
    number = "2",
    pages = "147-150",
    publisher = "Elsevier Ireland Ltd",
    issn = "0167-4943",
    doi = "10.1016/j.archger.2009.03.001",
    keywords = "Cognitive decline; Elderly inpatients; General hospital; Underestimation
of cognitive decline; Clock drawing test",
    abstract = "The aim of this study was to report the prevalence of cognitive decline
as well as its recognition rates in elderly inpatients in a general
hospital in Greece. Two hundred randomly selected patients, 65 years old
and over, hospitalized in surgery and internal medicine departments,
were assessed for cognitive decline in a period of 12 months by means of
structured clinical interview for DSM-IV axis-I disorders, clinical
version (SCID-IV), mini-mental state examination (MMSE) and the clock
drawing test (CDT). During the next 12 months the liaison calls were
evaluated and the two periods were compared. During the first screening
period, when psychiatric assessment was performed, 61 patients (30.5%)
were diagnosed to present cognitive decline. During the second period,
there were only 20 liaison calls from the same departments for patients
over 65 years of age, from which 15 patients were found to present
cognitive decline. Comparison between the two periods showed significant
underestimation of cognitive decline. In the general hospital the
cognitive decline of elderly inpatients remains still under-recognized.
(C) 2009 Elsevier Ireland Ltd. All rights reserved."
}