Litovitz G L, Hedberg M, Wise T N, White J D, Mann L S
Am J Emerg Med. 1985 Sep;3(5):400-2. doi: 10.1016/0735-6757(85)90197-4.
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.
在分诊前，使用一般健康问卷（GHQ）和简易精神状态检查表（MMS）对96名前往大学医院急诊科就诊的患者进行了心理症状或认知障碍筛查。查阅病历以获取人口统计学信息以及急诊医生对心理症状或认知功能障碍的识别情况。在所研究的患者中，38%的患者GHQ结果呈阳性，18%的患者MMS结果呈阳性。急诊医生仅识别出8%的GHQ结果阳性患者和6%的MMS结果阳性患者存在心理症状或认知障碍。文中讨论了针对急诊科患者心理症状和认知障碍筛查措施的实用性。
