{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T04:56:36Z","timestamp":1786251396967,"version":"build-2736575974"},"reference-count":52,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000957","name":"Alzheimer's Association","doi-asserted-by":"publisher","award":["23AARFD\u20101028868"],"award-info":[{"award-number":["23AARFD\u20101028868"]}],"id":[{"id":"10.13039\/100000957","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp;amp; Dementia"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Cognitive impairment in hospitalized older adults without delirium is often undiagnosed. We evaluated the diagnostic accuracy and prognostic value of two brief bedside screening tools\u2014the 10\u2010point Cognitive Screener (10\u2010CS) and Short Portable Mental Status Questionnaire (SPMSQ).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Multicenter prospective cohort of 2003 patients \u226565 years of age without delirium, admitted to 43 hospitals in five countries of the Creating a Hospital Assessment Network in Geriatrics (CHANGE) Study. Screening was completed within 48\u00a0h of admission. Dementia was defined as informant\u2010based Clinical Dementia Rating \u22651.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Dementia prevalence was 22%, with 35% undiagnosed. Both tools showed good accuracy for detecting dementia, with the 10\u2010CS slightly more accurate than SPMSQ (area under the curve [AUC]\u00a0=\u00a00.87\u00a0vs 0.85;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.02). After adjustment, cognitive impairment detected by either tool was associated with increased risk of incident delirium, hospital\u2010associated disability in self\u2010care activities, and 90\u2010day mortality, but not prolonged stay.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>Brief bedside screening identified dementia and predicted adverse outcomes, supporting its integration into routine hospital care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.71289","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T03:55:49Z","timestamp":1773978949000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Bedside cognitive screening to detect dementia and predict poor outcomes in 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California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth E.","family":"Covinsky","sequence":"additional","affiliation":[{"name":"Division of Geriatrics Department of Medicine University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laiss","family":"Bertola","sequence":"additional","affiliation":[{"name":"Laboratorio de Investigacao Medica em Envelhecimento (LIM\u201066) Servico de Geriatria Hospital das Clinicas HCFMUSP Faculdade de Medicina Universidade de Sao Paulo  Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina Miksian","family":"Magaldi","sequence":"additional","affiliation":[{"name":"Laboratorio de Investigacao Medica em Envelhecimento (LIM\u201066) Servico de Geriatria Hospital das Clinicas HCFMUSP Faculdade de Medicina Universidade de Sao Paulo  Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther S.","family":"Oh","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine and Gerontology Department of Medicine Johns Hopkins School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher R.","family":"Carpenter","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Aparecida","family":"Camargos Bicalho","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais, Hospital das Cl\u00ednicas, Servi\u00e7o de Geriatria e Gerontologia  Belo Horizonte MG Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna Mac\u00eado","family":"de Carvalho","sequence":"additional","affiliation":[{"name":"Research Institute Hospital Sirio\u2010Libanes  Sao Paulo 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