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. 2021 Jul 19;2021(7):CD010772. doi: 10.1002/14651858.CD010772.pub3

Harwood 1997.

Study characteristics
Patient Sampling Random sample of urgent admissions in over‐65s. Sample was determined by assigning a number on a card to each admission and selecting half of the cards each day at random
Patient characteristics and setting Unscheduled admissions (aged > 65 years) admitted to an acute medical unit of a UK teaching hospital in Oxford (n = 201)
Index tests IQCODE 16 item, English language
Target condition and reference standard(s) Clinical dementia diagnosis using DSM‐III‐R
Flow and timing Of 223 potential participants, 13 died prior to assessment or were excluded due to being 'too ill' to participate, 7 declined consent, 2 were excluded due to absence at time of assessment ‐ result in n = 201 participants
Index test and reference standard conducted contemporaneously, but not blinded
Comparative  
Notes  
Methodological quality
Item Authors' judgement Risk of bias Applicability concerns
DOMAIN 1: Patient Selection
Was a consecutive or random sample of patients enrolled? Yes    
Was a case‐control design avoided? Yes    
Did the study avoid inappropriate exclusions? Yes    
Could the selection of patients have introduced bias?   Low risk  
Are there concerns that the included patients and setting do not match the review question?     Low concern
DOMAIN 3: Reference Standard
Is the reference standards likely to correctly classify the target condition? Yes    
Could the reference standard, its conduct, or its interpretation have introduced bias?   Unclear risk  
Are there concerns that the target condition as defined by the reference standard does not match the question?     Low concern
DOMAIN 4: Flow and Timing
Was there an appropriate interval between index test and reference standard? Unclear    
Were all patients included in the analysis? Yes    
Could the patient flow have introduced bias?   Low risk