A smartphone-based test for the assessment of attention deficits in delirium: A case-control diagnostic test accuracy study in older hospitalised patients.
Zoë TiegesDavid J StottRobert ShawElaine TangLisa-Marie RutterEva NouzovaNikki DuncanCaoimhe ClarkeChristopher J WeirValentina AssiHannah EnsorJennifer H BarnettJonathan EvansSamantha GreenKirsty HendryMeigan ThomsonJenny McKeeverDuncan G MiddletonStuart ParksTim WalshAlexander J WeirElizabeth WilsonTara QuasimAlasdair M J MacLullichPublished in: PloS one (2020)
Patients with delirium (with or without pre-existing cognitive impairment) perform poorly on the DelApp compared to patients with dementia and those without cognitive impairment. A cut-point of ≤8/10 is suggested as having optimal sensitivity and specificity. The DelApp is a promising tool for assessment of attention deficits associated with delirium in older hospitalised adults, many of whom have prior cognitive impairment, and should be further validated in representative patient cohorts.
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