The Performance of the Clock Drawing Test in Elderly Medical Inpatients: Does It Have Utility in the Identification of Delirium?
The Clock Drawing Test is an often-used test for the detection of cognitive impairment, but the few studies that have evaluated its utility in delirium have produced rather inconsistent results. In a longitudinal study of delirium in elderly medical inpatients, we have investigated the relationships...
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| Published in: | Journal of geriatric psychiatry and neurology Vol. 18; no. 3; pp. 129 - 133 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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Thousand Oaks, CA
Sage Publications
01-09-2005
Decker Sage Publications, Inc |
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| Abstract | The Clock Drawing Test is an often-used test for the detection of cognitive impairment, but the few studies that have evaluated its utility in delirium have produced rather inconsistent results. In a longitudinal study of delirium in elderly medical inpatients, we have investigated the relationships between the Clock Drawing Test, the presence and severity of delirium, and cognitive impairment. Using mixed linear model analysis we found that cognitive impairment was the major factor associated with low Clock Drawing Test scores (P < .0001): neither the presence nor the severity of delirium had additional significant effect on the Clock Drawing Test. Thus, we conclude that although the Clock Drawing Test is a good detector of cognitive impairment, it is not a suitable tool for detection of delirium in elderly medical inpatients. |
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| AbstractList | The Clock Drawing Test is an often-used test for the detection of cognitive impairment, but the few studies that have evaluated its utility in delirium have produced rather inconsistent results. In a longitudinal study of delirium in elderly medical inpatients, we have investigated the relationships between the Clock Drawing Test, the presence and severity of delirium, and cognitive impairment. Using mixed linear model analysis we found that cognitive impairment was the major factor associated with low Clock Drawing Test scores ( P < .0001): neither the presence nor the severity of delirium had additional significant effect on the Clock Drawing Test. Thus, we conclude that although the Clock Drawing Test is a good detector of cognitive impairment, it is not a suitable tool for detection of delirium in elderly medical inpatients. The Clock Drawing Test is an often-used test for the detection of cognitive impairment, but the few studies that have evaluated its utility in delirium have produced rather inconsistent results. In a longitudinal study of delirium in elderly medical inpatients, we have investigated the relationships between the Clock Drawing Test, the presence and severity of delirium, and cognitive impairment. Using mixed linear model analysis we found that cognitive impairment was the major factor associated with low Clock Drawing Test scores (P < .0001): neither the presence nor the severity of delirium had additional significant effect on the Clock Drawing Test. Thus, we conclude that although the Clock Drawing Test is a good detector of cognitive impairment, it is not a suitable tool for detection of delirium in elderly medical inpatients. |
| Audience | Academic |
| Author | Morrison, Catriona Adamis, Dimitrios Macdonald, Alastair J. D. Martin, Finbarr C. Treloar, Adrian |
| Author_xml | – sequence: 1 givenname: Dimitrios surname: Adamis fullname: Adamis, Dimitrios organization: Department of Ageing and Health, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom – sequence: 2 givenname: Catriona surname: Morrison fullname: Morrison, Catriona organization: Department of Ageing and Health, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom – sequence: 3 givenname: Adrian surname: Treloar fullname: Treloar, Adrian organization: Oxleas Mental Health Trust, Bexley, Kent, United Kingdom – sequence: 4 givenname: Alastair J. D. surname: Macdonald fullname: Macdonald, Alastair J. D. organization: Department of Old Age Psychiatry, Guy’s, King’s and St Thomas’ School of Medicine, King’s College London, United Kingdom – sequence: 5 givenname: Finbarr C. surname: Martin fullname: Martin, Finbarr C. email: Finbarr.martin@nhs.uk organization: Department of Ageing and Health, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom |
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| Keywords | psychometrics Clock Drawing Test (CDT) elderly delirium Human Delirium Performance evaluation Neuropsychological test Psychometrics Hospitalization Identification Organic mental disorder Medicine Gerontology Hospital Performance Elderly Mental confusion Geriatrics |
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| SubjectTerms | Aged Aged, 80 and over Biological and medical sciences Care and treatment Cognition Disorders - diagnosis Cognition Disorders - epidemiology Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Delirium Delirium - diagnosis Delirium - epidemiology Diagnosis Female Geriatrics Health aspects Humans Male Medical sciences Medical screening Methods Neurology Neuropsychological Tests Prospective Studies Psychology. Psychoanalysis. Psychiatry Psychometrics Psychopathology. Psychiatry Risk factors Severity of Illness Index |
| Title | The Performance of the Clock Drawing Test in Elderly Medical Inpatients: Does It Have Utility in the Identification of Delirium? |
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