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Moca pdf download10/31/2023 įor patients with cognitive dysfunction induced by a surgical intervention, the entity of postoperative cognitive dysfunction (POCD) has been described for this situation, which is distinct from postoperative delirium. According to the literature, subsyndromal delirium seems to be as common as delirium, and comprises the same diagnostic criteria as delirium, such as acute or subacute onset, disturbed attention, fluctuating course and disorganized thinking, but without the severity of delirium. not fulfilling the diagnostic criteria of delirium or subsyndromal delirium. However, in addition to the entity of delirium we frequently observe geriatric patients with changes in cognitive function during hospital stay without further clinical symptoms, i.e. The high prevalence of postoperative delirium and delirium during acute disease in older hospitalized patients is well known. German Clinical trial register (DRKS-ID: DRKS00025157 on ). We propose the term “acute disease induced cognitive dysfunction” (ADICD) for this entity. ConclusionĬognitive changes frequently occur during acute disease of geriatric patients independently from delirium. There was no significant association between delirium during hospital stay and the prevalence and magnitude of changes in total MoCA score. 46 (44.7%) patients experienced significant changes of cognitive function 2 MoCA points without delirium. 12 (11.7%) patients suffered from delirium. The mean difference of the total MoCA score was − 0.1 (☓.5). The total MoCA score on admission was 17.8 (±4.5) and at discharge 17.7 (±4.4). In this retrospective study, cognitive function was assessed with the Montreal Cognitive Assessment on admission and discharge in 103 acute care geriatric hospital patients. It is unknown, how many older hospitalized patients experience cognitive changes independently from delirium.
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