{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T18:11:23Z","timestamp":1790273483749,"version":"4.1.0"},"reference-count":47,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2011,6,1]],"date-time":"2011-06-01T00:00:00Z","timestamp":1306886400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Annals of Emergency Medicine"],"published-print":{"date-parts":[[2011,6]]},"DOI":"10.1016\/j.annemergmed.2010.12.002","type":"journal-article","created":{"date-parts":[[2011,1,27]],"date-time":"2011-01-27T04:24:08Z","timestamp":1296102248000},"page":"662-671.e2","source":"Crossref","is-referenced-by-count":81,"title":["The Effect of Cognitive Impairment on the Accuracy of the Presenting Complaint and Discharge Instruction Comprehension in Older Emergency Department Patients"],"prefix":"10.1016","volume":"57","author":[{"given":"Jin H.","family":"Han","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne N.","family":"Bryce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. Wesley","family":"Ely","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Kripalani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Morandi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayumi","family":"Shintani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James C.","family":"Jackson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan B.","family":"Storrow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert S.","family":"Dittus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Schnelle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.annemergmed.2010.12.002_bib1","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1093\/ageing\/19.6.415","article-title":"The discharge of elderly patients from an accident and emergency department: functional changes and risk of readmission","volume":"19","author":"Rowland","year":"1990","journal-title":"Age Ageing"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib2","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1111\/j.1753-6405.1990.tb00047.x","article-title":"The fate of elderly patients discharged from the accident and emergency department of a general teaching hospital","volume":"14","author":"Rosenfeld","year":"1990","journal-title":"Community Health Stud"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib3","doi-asserted-by":"crossref","first-page":"234","DOI":"10.5694\/j.1326-5377.1992.tb137125.x","article-title":"Elderly patients in the emergency department: a prospective study of characteristics and outcome","volume":"157","author":"Richardson","year":"1992","journal-title":"Med J Aust"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib4","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1016\/S0196-0644(99)70161-7","article-title":"Older patients' health-related quality of life around an episode of emergency illness","volume":"34","author":"Chin","year":"1999","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib5","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1007\/s11606-007-0343-9","article-title":"Adverse health outcomes after discharge from the emergency department\u2014incidence and risk factors in a veteran population","volume":"22","author":"Hastings","year":"2007","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib6","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1097\/MLR.0b013e3181791a2d","article-title":"Frequency and predictors of adverse health outcomes in older Medicare beneficiaries discharged from the emergency department","volume":"46","author":"Hastings","year":"2008","journal-title":"Med Care"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib7","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1067\/mem.2003.152","article-title":"The effect of mental status screening on the care of elderly emergency department patients","volume":"41","author":"Hustey","year":"2003","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib8","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1192\/bjp.161.6.843","article-title":"An empirical study of delirium subtypes","volume":"161","author":"Liptzin","year":"1992","journal-title":"Br J Psychiatry"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib9","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/S0196-0644(95)70202-4","article-title":"Delirium and other cognitive impairment in older adults in an emergency department","volume":"25","author":"Naughton","year":"1995","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib10","series-title":"Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition: DSM-IV","year":"1994"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib11","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1111\/j.1553-2712.2010.00684.x","article-title":"Development of geriatric competencies for emergency medicine residents using an expert consensus process","volume":"17","author":"Hogan","year":"2010","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib12","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1111\/j.1553-2712.2009.00382.x","article-title":"Quality indicators for geriatric emergency care","volume":"16","author":"Terrell","year":"2009","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib13","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1017\/S1481803500012860","article-title":"Emergency department discharge instructions comprehension and compliance study","volume":"7","author":"Clarke","year":"2005","journal-title":"CJEM"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib14","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/S0196-0644(95)70358-6","article-title":"Comprehension of discharge instructions by patients in an urban emergency department","volume":"25","author":"Spandorfer","year":"1995","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib15","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.annemergmed.2010.03.003","article-title":"Delirium in the emergency department: an independent predictor of death within 6 months","volume":"56","author":"Han","year":"2010","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib16","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1001\/jama.291.14.1753","article-title":"Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit","volume":"291","author":"Ely","year":"2004","journal-title":"JAMA"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib17","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1001\/archinte.162.4.457","article-title":"Delirium predicts 12-month mortality","volume":"162","author":"McCusker","year":"2002","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib18","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1212\/01.WNL.0000118210.12660.C2","article-title":"Dementia: the leading predictor of death in a defined elderly population: the Cache County Study","volume":"62","author":"Tschanz","year":"2004","journal-title":"Neurology"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib19","series-title":"National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary","author":"Pitts","year":"2008"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib20","series-title":"US Census Bureau, Current Population Reports, P23-209, 65+ in the United States: 2005","author":"He","year":"2005"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib21","series-title":"A Supplement to New Frontiers in Geriatrics Research: An Agenda for Surgical and Related Medical Specialties","first-page":"45","article-title":"Geriatric emergency medicine","author":"Carpenter","year":"2007"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib22","doi-asserted-by":"crossref","first-page":"2703","DOI":"10.1001\/jama.286.21.2703","article-title":"Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU)","volume":"286","author":"Ely","year":"2001","journal-title":"JAMA"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib23","doi-asserted-by":"crossref","first-page":"941","DOI":"10.7326\/0003-4819-113-12-941","article-title":"Clarifying confusion: the confusion assessment method","volume":"113","author":"Inouye","year":"1990","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib24","doi-asserted-by":"crossref","first-page":"1370","DOI":"10.1097\/00003246-200107000-00012","article-title":"Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)","volume":"29","author":"Ely","year":"2001","journal-title":"Crit Care Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib25","doi-asserted-by":"crossref","first-page":"1726","DOI":"10.1007\/s00134-007-0687-y","article-title":"Motoric subtypes of delirium in mechanically ventilated surgical and trauma intensive care unit patients","volume":"33","author":"Pandharipande","year":"2007","journal-title":"Intensive Care Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib26","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1111\/j.1532-5415.2005.00621.x","article-title":"Delirium and its motoric subtypes: a study of 614 critically ill patients","volume":"54","author":"Peterson","year":"2006","journal-title":"J Am Geriatr Soc"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib27","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/0022-3956(75)90026-6","article-title":"\u201cMini-mental state.\u201d","volume":"12","author":"Folstein","year":"1975","journal-title":"J Psychiatr Res"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib28","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1017\/S003329170002691X","article-title":"A short form of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): development and cross-validation","volume":"24","author":"Jorm","year":"1994","journal-title":"Psychol Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib29","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1159\/000048628","article-title":"The Hopkins Verbal Learning Test and screening for dementia","volume":"13","author":"Hogervorst","year":"2002","journal-title":"Dement Geriatr Cogn Disord"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib30","first-page":"588","article-title":"Brief questions to identify patients with inadequate health literacy","volume":"36","author":"Chew","year":"2004","journal-title":"Fam Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib31","series-title":"Regression Modeling Strategies : With Applications to Linear Models, Logistic Regression, and Survival Analysis","author":"Harrell","year":"2001"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib32","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1111\/j.1553-2712.2008.00339.x","article-title":"Delirium in older emergency department patients: recognition, risk factors, and psychomotor subtypes","volume":"16","author":"Han","year":"2009","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib33","first-page":"391","article-title":"Rapid Estimate of Adult Literacy in Medicine: a shortened screening instrument","volume":"25","author":"Davis","year":"1993","journal-title":"Fam Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib34","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1007\/BF02640361","article-title":"The Test of Functional Health Literacy in Adults: a new instrument for measuring patients' literacy skills","volume":"10","author":"Parker","year":"1995","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib35","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.annemergmed.2006.06.035","article-title":"Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers","volume":"49","author":"Kachalia","year":"2007","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib36","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1067\/mem.2002.122273","article-title":"Missed delirium in older emergency department patients: a quality-of-care problem","volume":"39","author":"Sanders","year":"2002","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib37","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/j.annemergmed.2008.05.016","article-title":"Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand?","volume":"53","author":"Engel","year":"2009","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib38","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1046\/j.1532-5415.2003.51151.x","article-title":"Delirium in older emergency department patients discharged home: effect on survival","volume":"51","author":"Kakuma","year":"2003","journal-title":"J Am Geriatr Soc"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib39","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1097\/JGP.0b013e31818cd3e5","article-title":"Incidence and documentation of cognitive impairment among older adults with severe mental illness in a community mental health setting","volume":"17","author":"Mackin","year":"2009","journal-title":"Am J Geriatr Psychiatry"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib40","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1007\/s11606-005-0103-7","article-title":"Implementing a screening and diagnosis program for dementia in primary care","volume":"20","author":"Boustani","year":"2005","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib41","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1002\/gps.2293","article-title":"Primary care physicians' attitudes towards cognitive screening: findings from a national postal survey","volume":"25","author":"Iracleous","year":"2010","journal-title":"Int J Geriatr Psychiatry"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib42","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.maturitas.2009.03.005","article-title":"Diagnostic tools for dementia","volume":"63","author":"Hatfield","year":"2009","journal-title":"Maturitas"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib43","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1002\/gps.2306","article-title":"Brief cognitive screening instruments: an update","volume":"25","author":"Ismail","year":"2010","journal-title":"Int J Geriatr Psychiatry"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib44","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1017\/S1041610208007394","article-title":"Screening for dementia in primary care: a review of the use, efficacy and quality of measures","volume":"20","author":"Milne","year":"2008","journal-title":"Int Psychogeriatr"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib45","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1111\/j.1553-2712.2005.tb00915.x","article-title":"An evaluation of two screening tools for cognitive impairment in older emergency department patients","volume":"12","author":"Wilber","year":"2005","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib46","article-title":"The Six-Item Screener and AD8 for the detection of cognitive impairment in geriatric emergency department patients","author":"Carpenter","year":"2010","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.annemergmed.2010.12.002_bib47","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1111\/j.1553-2712.2008.00158.x","article-title":"The Six-Item Screener to detect cognitive impairment in older emergency department patients","volume":"15","author":"Wilber","year":"2008","journal-title":"Acad Emerg Med"}],"container-title":["Annals of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0196064410018342?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0196064410018342?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T09:50:11Z","timestamp":1712137811000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0196064410018342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,6]]},"references-count":47,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2011,6]]}},"alternative-id":["S0196064410018342"],"URL":"https:\/\/doi.org\/10.1016\/j.annemergmed.2010.12.002","relation":{},"ISSN":["0196-0644"],"issn-type":[{"value":"0196-0644","type":"print"}],"subject":[],"published":{"date-parts":[[2011,6]]}}}