Prevalence, course, and risk factors for executive impairment in patients hospitalized on a general medicine service

Jason E. Schillerstrom, Monica S. Horton, Tracy L. Schillerstrom, Kaustubh G. Joshi, Brian S. Earthman, Angela M. Velez, Donald R. Royall

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

The purpose of this study was to determine the prevalence, course, and risk factors for executive impairment in patients hospitalized on a general medicine service. One hundred patients were administered the Executive Interview (EXIT25), the Executive Clock Drawing Task (CLOX), and the Mini-Mental State Examination at admission and discharge. Fifty-two percent of the patients at admission and 56% at discharge had scores indicating impairment on at least one measure of executive function. Median scores on every measure improved during hospitalization. Older patients and those with a cardiac or gastrointestinal disorder were more likely to have executive impairment. The prevalence of executive impairment on general medicine services is high. Although improvement in executive function occurs during hospitalization, many patients remained impaired.

Original languageEnglish (US)
Pages (from-to)411-417
Number of pages7
JournalPsychosomatics
Volume46
Issue number5
DOIs
StatePublished - Jan 1 2005

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Applied Psychology
  • Psychiatry and Mental health

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