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 |
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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 |