Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Boettger, S; Bergman, M; Jenewein, J; Boettger, S.
Advanced age and decisional capacity: The effect of age on the ability to make health care decisions.
Arch Gerontol Geriatr. 2016; 66(16):211-217
Doi: 10.1016/j.archger.2016.06.011
Web of Science
PubMed
FullText
FullText_MUG
- Co-authors Med Uni Graz
- Jenewein Josef
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- Cognitive disorders, including dementia, have been shown to be predictors of decisional incapacity, even more than psychotic or substance use disorders. Nonetheless, the impact of advanced age on decisional capacity remains understudied. Out of more than 2500 consecutive psychiatric consultations performed by the Consultation-Liaison service at Bellevue Hospital Center in New York City, 266 completed decisional capacity assessments were identified and analyzed with respect to the indications for referral and the impact of age and other sociodemographic, medical and psychiatric variables on decisional capacity. By itself, in this sample advanced age was not associated with impaired medical decision-making. In individuals ≥65years old, among whom only 27% were deemed to have decisional incapacity, cognitive disorders including dementia remained the strongest association with this incapacity; meanwhile, in patients <65, decisional impairment was evident in 62%, and delirium, psychosis and neurological disorders caused more decisional impairment. The main indications for referral were placement refusals in those ≥65, while young patients were largely seen due to their desire to leave the hospital against medical advice. Advanced age by itself failed to be associated with decisional incapacity in this sample. In those ≥65, cognitive disorders remained the main association with such incapacity, versus psychosis, substance use and neurological disorders in younger patients. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Aging - psychology
- Attitude to Health -
- Cognition Disorders - epidemiology
- Cognition Disorders - psychology
- Decision Making - physiology
- Female -
- Humans -
- Male -
- Mental Competency - psychology
- Mental Status Schedule -
- Middle Aged -
- Prevalence -
- United States - epidemiology
- Young Adult -
- Find related publications in this database (Keywords)
- Assessment
- Decisional capacity
- Competence
- Psychiatric illness
- Medical comorbidities
- Advanced age