Recognition of dementia among medical patients

R. P. Roca, L. E. Klein, S. M. Kirby, J. C. McArthur, G. B. Vogelsang, M. F. Folstein, C. R. Smith

Research output: Contribution to journalArticle

Abstract

To determine how accurately dementia was diagnosed among medical inpatients, we compared the judgments of medical interns with diagnoses based on standard criteria. Fifty-seven interns rendered opinions regarding the presence of dementia in 380 medical inpatients who were simultaneously examined by physician-investigators applying criteria derived from DSM III. The sensitivity and specificity of diagnosis by interns were 79% and 80%, respectively. Patients who were misdiagnosed as demented were less likely to be high school graduates than their correctly classified nondemented counterparts, and those with unrecognized dementia were more likely to be younger than 65 years than patients whose dementia was recognized by house staff. It is concluded that misdiagnosis is related to age and educational status and that attention to these factors may improve diagnostic accuracy.

Original languageEnglish (US)
Pages (from-to)73-75
Number of pages3
JournalArchives of Internal Medicine
Volume144
Issue number1
DOIs
StatePublished - 1984
Externally publishedYes

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Dementia
Diagnostic Errors
Inpatients
Educational Status
Internship and Residency
Diagnostic and Statistical Manual of Mental Disorders
Research Personnel
Physicians
Sensitivity and Specificity
Recognition (Psychology)

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Roca, R. P., Klein, L. E., Kirby, S. M., McArthur, J. C., Vogelsang, G. B., Folstein, M. F., & Smith, C. R. (1984). Recognition of dementia among medical patients. Archives of Internal Medicine, 144(1), 73-75. https://doi.org/10.1001/archinte.144.1.73

Recognition of dementia among medical patients. / Roca, R. P.; Klein, L. E.; Kirby, S. M.; McArthur, J. C.; Vogelsang, G. B.; Folstein, M. F.; Smith, C. R.

In: Archives of Internal Medicine, Vol. 144, No. 1, 1984, p. 73-75.

Research output: Contribution to journalArticle

Roca, RP, Klein, LE, Kirby, SM, McArthur, JC, Vogelsang, GB, Folstein, MF & Smith, CR 1984, 'Recognition of dementia among medical patients', Archives of Internal Medicine, vol. 144, no. 1, pp. 73-75. https://doi.org/10.1001/archinte.144.1.73
Roca RP, Klein LE, Kirby SM, McArthur JC, Vogelsang GB, Folstein MF et al. Recognition of dementia among medical patients. Archives of Internal Medicine. 1984;144(1):73-75. https://doi.org/10.1001/archinte.144.1.73
Roca, R. P. ; Klein, L. E. ; Kirby, S. M. ; McArthur, J. C. ; Vogelsang, G. B. ; Folstein, M. F. ; Smith, C. R. / Recognition of dementia among medical patients. In: Archives of Internal Medicine. 1984 ; Vol. 144, No. 1. pp. 73-75.
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