Am J Emerg Med. 1985 Sep;3(5):400-2.

Recognition of psychological and cognitive impairments in the emergency department.

Litovitz GL, Hedberg M, Wise TN, White JD, Mann LS.

Abstract

Ninety-six patients presenting to a university hospital emergency department were screened before triage for psychological symptoms or cognitive impairment using the General Health Questionnaire (GHQ) and Mini-Mental State examination (MMS). Charts were reviewed for demographic information and emergency physicians' recognition of psychological symptoms or cognitive dysfunction. Of the patients studied, 38% had positive results on the GHQ, and 18% had positive results on the MMS. Psychological symptoms or cognitive impairments were recognized by the emergency physicians in only 8% of those with positive GHQ results and 6% of those with positive MMS results. The usefulness of screening measures for psychological symptoms and cognitive impairment of emergency department patients is discussed.

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Recognition of psychological and cognitive impairments in the emergency department.

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