Alerting providers to hospitalized persons with dementia using the electronic health record.

Background: While patients with dementia entering the hospital have worse outcomes than those without dementia, early detection of dementia in the inpatient setting is less than 50%. We developed and assessed the positive predictive value (PPV) and feasibility of a novel electronic health record (EHR) banner to identify patients with dementia who present to the inpatient setting using data from the medical record.

Methods: We developed and implemented an EHR algorithm to flag hospitalized patients age ≥65 years with potential cognitive impairment in the Epic EHR system using dementia ICD-10 codes, FDA-approved medications, and the use of the term "dementia" in the emergency department physician note.

Immediate effects of contralateral and ipsilateral cane use on normal adult gait.

Objective: To determine the effects of ipsilateral and contralateral cane use on gait kinematics and peak vertical force in young healthy adults.

Design: Prospective observational study.

Setting: Veterans Affairs Healthcare Center.