Inappropriate care for patients with cognitive dysfunction in the hospital could worsen quality of care and medical service satisfaction.All elderly participants were recruited from acute wards of 5 departments in an university hospital. They were administered the Chinese version of Ascertain Dementia 8 (AD8) at admission and the Nursing Service Satisfaction Questionnaire before discharge.A total of 345 participants completed the study. There were 91 (26.4%) participants with AD8 ≥ 2, the cut-off value of high risk of dementia. The prevalence was much higher than prior community-based reports. The Nursing Service Satisfaction Score was significantly lower in AD8 ≥ 2 than in AD8 < 2 (56.99 ± 0.94 vs 60.55 ± 0.48, P < .01).Using AD8 in hospital-based screening might be more efficient than in the community in terms of cost-effectiveness due to higher positive rate and easier approach to diagnostic facilities. AD8 ≥ 2 is also an indicator to identify care dissatisfaction among inpatients. By identifying patients with cognitive dysfunction, such as its related communication barriers, care systems could be tailored for more friendly services.

Original languageEnglish
Article numbere18741
JournalMedicine (United States)
Issue number2
Publication statusPublished - Jan 1 2020


  • AD8
  • dementia screen
  • hospital-based
  • nursing satisfaction
  • Quality of Health Care/standards
  • Surveys and Questionnaires/standards
  • Reproducibility of Results
  • Mass Screening/economics
  • Humans
  • Middle Aged
  • Male
  • Dementia/diagnosis
  • Patient Satisfaction
  • Cost-Benefit Analysis
  • Aged, 80 and over
  • Female
  • Aged

ASJC Scopus subject areas

  • Medicine(all)


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