{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:48:12Z","timestamp":1768265292362,"version":"3.49.0"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2022,8,5]],"date-time":"2022-08-05T00:00:00Z","timestamp":1659657600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,5]],"date-time":"2022-08-05T00:00:00Z","timestamp":1659657600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100004440","name":"Wellcome Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004440","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National University Ireland, Galway"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aging Clin Exp Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Delirium is extremely prevalent, yet underdiagnosed, in older patients and is associated with prolonged length of hospital stay and higher mortality rates. Impaired attention is the cardinal deficit in delirium and is a required feature in diagnostic criteria. The verbal months backwards test (MBT) is the most sensitive bedside test of attention, however, hospital staff occasionally have difficulty with its administration and interpretation. We hypothesise that the MBT on an electronic tablet may be easier and more consistent to use for both experienced and unexperienced medical professionals and, if the diagnostic efficacy was similar, aid delirium diagnosis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Aim<\/jats:title>\n                <jats:p>We aim to investigate the correlation of the verbal MBT with a computerised MBT application.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Participants recruited (age\u2009&gt;\u200965, <jats:italic>n<\/jats:italic>\u2009=\u200975) were allocated to different cohorts (Dementia and Delirium (DMDL), Dementia (DM), Delirium (DL), No Neurocognitive Disorder (NNCD)) and were administered both the verbal and electronic versions.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Correlation between measurements were: overall Spearman\u2019s rho\u2009=\u20090.772 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001); DMDL rho\u2009=\u20090.666 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001); DL rho\u2009=\u20090.778 (<jats:italic>p<\/jats:italic>\u2009=\u20090.039); DM rho\u2009=\u20090.378 (<jats:italic>p<\/jats:italic>\u2009=\u20090.203); NNCD rho\u2009=\u20090.143 (<jats:italic>p<\/jats:italic>\u2009=\u20090.559).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Discussion<\/jats:title>\n                <jats:p>Overall, and for the delirious subset, statistically significant agreement was present. Poor inter-test correlation existed in the groups without delirium (DM, NNCD).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The MBTc correlates well with the MBTv in patients who are clinically suspected to have delirium but has poor correlation in patients without delirium. Visuospatial cognition and psychomotor deficits in a dementia cohort and mechanical factors (such as tremor, poor fingernail hygiene and visual impairment) in a group with no neurocognitive disorder may limit the utility of the MBTc in a hospitalised older population.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s40520-022-02205-w","type":"journal-article","created":{"date-parts":[[2022,8,5]],"date-time":"2022-08-05T16:03:08Z","timestamp":1659715388000},"page":"2713-2719","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of verbal and computerised months backwards tests in a hospitalized older population"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2042-257X","authenticated-orcid":false,"given":"Martin","family":"Mulligan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leona","family":"Lally","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1315-1695","authenticated-orcid":false,"given":"Dimitrios","family":"Adamis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8324-8017","authenticated-orcid":false,"given":"David","family":"Meagher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Exton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5010-3185","authenticated-orcid":false,"given":"Colum","family":"Dunne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1312-0998","authenticated-orcid":false,"given":"Geraldine","family":"McCarthy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,8,5]]},"reference":[{"key":"2205_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmjopen-2012-001772","volume":"3","author":"DJ Ryan","year":"2013","unstructured":"Ryan DJ, O\u2019Regan NA, Caoimh R\u00d3 et al (2013) Delirium in an adult acute hospital population: Predictors, prevalence and detection. 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The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}},{"value":"All the procedures conducted in this study were in accordance with the 1964 Helsinki Declaration and its later amendments. Ethical approval was granted by Research Ethics Committees at Galway University (GUH) and Sligo University Hospitals (SUH).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained and all participants were asked to partake in an initial battery of tests. The procedures and rationale for the study were explained to all patients and a patient information leaflet was provided to the patient (and\/or the next of kin\/responsible caregiver where appropriate). Due to level of cognitive impairment, some participants were unable to provide informed consent. In these cases, informed consent was augmented by communicating with their next of kin (where possible) or a responsible caregiver (in accordance with Helsinki Guidelines for Medical research involving Human Participants).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}