Citation

Ouellet MC, Sirois MJ, Beaulieu-Bonneau S, Morin J, Perry J, Daoust R, Wilding L, Provencher V, Camden S, Allain-Boulé N, Emond M. J. Am. Geriatr. Soc. 2014; 62(11): 2130-2135.

Affiliation

Unité de recherche en traumatologie- urgence- soins intensifs, Axe de Recherche en Santé des Populations et Pratiques Optimales en Santé, Centre de recherche du Centre Hospitalier Universitaire de Québec, Québec, Québec, Canada; Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale, Québec, Québec, Canada; School of Psychology, Université Laval, Québec, Québec, Canada.

Copyright

(Copyright © 2014, John Wiley and Sons)

DOI

10.1111/jgs.13081

PMID

25366657

Abstract

OBJECTIVES: To describe the cognitive functioning of independent community-dwelling elderly adults visiting the emergency department (ED) for minor injuries and at 3- and 6-month follow-up assessments and to document the occurrence of falls, return to the ED, and hospital visits over time according to cognitive level.

DESIGN: Prospective cohort study. SETTING: Three Canadian EDs. PARTICIPANTS: Individuals aged 65 and older who were independent in basic activities of daily living, visiting the ED for minor injuries, and discharged home within 48 hours (N = 320). MEASUREMENTS: Participants completed the Montreal Cognitive Assessment (MoCA). New falls involving pain and ED or hospital visits were documented at 3 and 6 months.

RESULTS: At baseline, 62.4% of participants scored below the recommended cutoff of 26 on the MoCA, suggesting cognitive dysfunction, and 22.9% scored below a more-stringent cutoff of 21. MoCA scores had improved significantly at 3 and 6 months. Items showing the most improvement were delayed recall and verbal fluency. Persons with MoCA scores of less than 21 reported significantly more new falls and hospital visits 3 to 6 months after injury.

CONCLUSION: Cognition is not optimal in many community-dwelling elderly adults visiting an ED for a minor injury, which may affect their capacity to comprehend, recall, and adhere to medical recommendations after their injury and put them at risk of further negative health events such as falls.

Language: en