@article{6dd10ae91ab94f0497ec04f064ce8351,
title = "Examining the Clinical Utility of the Brief Interview for Mental Status",
abstract = "The Brief Interview for Mental Status (BIMS) is used to identify delirium and needed supports in patients living in skilled nursing facilities (SNFs) and long-term care facilities (LTCFs). We analyzed 3,537,404 patients discharged from acute hospitals to SNFs or LTCFs with factor and Rasch analyses to examine the clinical utility of the BIMS. More than 40% of the sample had maximum scores, indicat-ing a ceiling effect. “Repetition of three words” was the easiest and the only misfit item (Outfit = 3.14). The ability of the BIMS to distinguish individuals into two cognitive levels (with person strata of 1.48) was limited. Although the BIMS is a widely used screening tool for cognitive impairment, we found it lacked sensitivity for approximately one half of patients admitted to SNFs/LTCFs. Our results suggest the BIMS should be interpreted with caution, particularly for patients with mild cognitive impairment.",
author = "Li, {Chih Ying} and Paul Arthur and Brian Downer and Velozo, {Craig A.} and Kuo, {Yong Fang} and Tzeng, {Huey Ming} and Ottenbacher, {Kenneth J.}",
note = "Funding Information: From Department of Occupational Therapy (C.-Y.L.), Department of Nutrition, Metabolism and Rehabilitation Sciences, School of Health Professions (B.D., K.J.O.), Office of Biostatistics, Preventive Medicine and Population Health (Y.-F.K.), and School of Nursing (H.-M.T.), University of Texas Medical Branch, Galveston, Texas; Department of Occupational Therapy, University of Southern Indiana, Evansville, Indiana (P.A.); and Division of Occupational Therapy, College of Health Professions, Medical University of South Carolina, Charleston, South Carolina (C.A.V.). {\textcopyright} 2022 Li, Arthur, Downer, Velozo, Kuo, Tzeng, Ottenbacher; licensee SLACK Incorporated. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (https://creativecommons.org/licenses/by-nc/4.0). This license allows users to copy and distribute, to remix, transform, and build upon the article non-commercially, provided the author is attributed and the new work is non-commercial. Disclosure: The authors have disclosed no potential conflicts of interest, financial or otherwise. Funding: This study was funded, in part, by the National Institutes of Health (P2CHD065702, K01AG058789, K01HD101589). Acknowledgment: The authors thank Sarah Toombs Smith, PhD, a board-certified Editor in the Life Sciences (bels.org) at the Sealy Center on Aging, University of Texas Medical Branch, for her assistance in reviewing and editing the manuscript prior to submission. She received no compensation for this effort beyond her university salary. Address correspondence to Chih-Ying Li, PhD, OTR, Department of Occupational Therapy, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-1142; email: chili@utmb.edu. Received: December 28, 2021. Accepted: April 18, 2022. doi:10.3928/19404921-20220428-02 Publisher Copyright: {\textcopyright} 2022 Li, Arthur, Downer, Velozo, Kuo, Tzeng, Ottenbacher; licensee SLACK Incorporated.",
year = "2022",
month = may,
doi = "10.3928/19404921-20220428-02",
language = "English (US)",
volume = "15",
pages = "124--130",
journal = "Research in gerontological nursing",
issn = "1940-4921",
publisher = "Slack Incorporated",
number = "3",
}