Attention, vigilance and visuospatial function in hospitalized elderly medical patients: Relationship to neurocognitive diagnosis

Maeve Leonard, Henry O'Connell, Olugbenga Williams, Fahad Awan, Chris Exton, Margaret O'Connor, Dimitrios Adamis, Colum Dunne, Walter Cullen, David J. Meagher

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: Efficient detection of neurocognitive disorders is a key diagnostic challenge. We explored how simple bedside tests of attention, vigilance and visuospatial function might assist in identifying delirium in hospitalized patients.

METHODS: Performance on a battery of bedside cognitive tests was compared in elderly medical inpatients with DSM-IV delirium, dementia, comorbid delirium-dementia, and no neurocognitive disorder.

RESULTS: 193 patients [mean age 79.9±7.3; 97 male] were assessed with delirium (n=45), dementia (n=33), comorbid delirium-dementia (n=65) and no neurocognitive disorder (NNCD) (n=50). The ability to meaningfully engage with the tests varied from 84% (Spatial Span Forwards) to 57% (Vigilance B test), and was especially problematic among the comorbid delirium-dementia group. The NNCD was distinguished from the delirium groups for most tests, and from the dementia group for the Vigilance B test and the Clock Drawing Test. The dementia group differed from delirium groups in respect of the Months Backward Test, Vigilance A and B tests, Global assessment of visuospatial ability and the Interlocking Pentagons Test. Overall, patients with delirium were best identified by three tests - the Months Backward Test, Vigilance A test and the Global Assessment of visuospatial function with failure to correctly complete any two of these predicting delirium status in 80% of cases.

CONCLUSION: Simple bedside tests of attention, vigilance and visuospatial ability can help to distinguish neurocognitive disorders, including delirium, from other presentations. There is a need to develop more accurate methods specifically designed to assess patients with neurocognitive disorder who are unable to engage with conventional tests.

Original languageEnglish
Pages (from-to)84-90
Number of pages7
JournalJournal of Psychosomatic Research
Volume90
DOIs
Publication statusPublished - 1 Nov 2016

Keywords

  • Aged
  • Aged, 80 and over
  • Arousal/physiology
  • Attention/physiology
  • Cognition Disorders/diagnosis
  • Comorbidity
  • Delirium/diagnosis
  • Dementia/diagnosis
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Hospitalization
  • Humans
  • Male
  • Neuropsychological Tests/standards
  • Psychomotor Performance/physiology
  • Spatial Behavior/physiology
  • Wakefulness

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