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| ID | Type | Description | Link |
|---|---|---|---|
| 2011-A01161-40 | Other Identifier | ANSM |
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To validate the French version of the CAM, a multicenter diagnostic study will be conducted. The principle of this study is identical to the study of Inouye which initially validated the CAM in 1990. This is to verify the diagnostic properties of the CAM (French version) compared to the gold standard represented by the confused state of psychiatric diagnosis using the DSM.
A representative sample of geriatric patients for whom a delirium is suspected, will be recruited in the various participating centers, patients will undergo two consecutive visits:
These two evaluations will be conducted on the same day and blinded from each other.
The order of these two procedures will be balanced within each center. This process will allow the calculation of diagnostic parameters of the CAM French version (validation competitive): sensitivity, specificity, positive and negative predictive values .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study population | See inclusion and exclusion criteria. Intervention: Psychiatric evaluation Intervention: Geriatric evaluation A potential intervention order effect will be taken into account by balancing in each center the number of evaluations beginning with the geriatric assessment and those starting with the psychiatric assessment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Psychiatric evaluation | Other | This evaluation is carried out in several stages:
A potential intervention order effect will be taken into account by balancing in each center the number of evaluations beginning with the geriatric assessment and those starting with the psychiatric assessment. |
| Measure | Description | Time Frame |
|---|---|---|
| CAM French Version: diagnostic properties | Sensitivity, specificity, positive predictive value, negative predictive value | Day 0 |
| Measure | Description | Time Frame |
|---|---|---|
| Reliability and quality of the french version of the CAM | Parameters of reliability and quality of the tool:
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient age (years) | Baseline (day 0) | |
| Patient weight (kg) | Baseline (Day 0) | |
| Height (cm) |
Inclusion Criteria:
Exclusion Criteria:
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Patients 75 years or older for whom a state of confusion is suspected during hospitalization or during a consultation for a geriatric or memory assessment.
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| Name | Affiliation | Role |
|---|---|---|
| Valéry Antoine, MD | Centre Hospitalier Universitaire de Nīmes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CH d'Alès | Alès | 30103 | France | |||
| CHU de Rouen - Hôpital de Bois-Guillaume |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29625860 | Result | Antoine V, Belmin J, Blain H, Bonin-Guillaume S, Goldsmith L, Guerin O, Kergoat MJ, Landais P, Mahmoudi R, Morais JA, Rataboul P, Saber A, Sirvain S, Wolfklein G, de Wazieres B. [The Confusion Assessment Method: Transcultural adaptation of a French version]. Rev Epidemiol Sante Publique. 2018 May;66(3):187-194. doi: 10.1016/j.respe.2018.01.133. Epub 2018 Apr 4. French. |
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| ID | Term |
|---|---|
| D003221 | Confusion |
| D003693 | Delirium |
| ID | Term |
|---|---|
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
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|
| Geriatric evaluation | Other | This evaluation includes a brief interview with a caregiver, diverse scorings (CAM, Delirium Index, Mini Geriatric Depression Scale, Modified Early Warning Score, Clinical Global Impression sclae, Algo Plus), and adverse event reporting. CAM scoring is carried out by a trained geriatrician and a trained nurse and/or a psychologist. A potential intervention order effect will be taken into account by balancing in each center the number of evaluations beginning with the geriatric assessment and those starting with the psychiatric assessment. |
|
| Day 0 |
| Feasibility of scoring with the French version of the Delirium Index | day 0 |
| Diagnostic properties of alternative algorithms constructed from items of CAM (French version) | day 0 |
| Baseline (day 0) |
| Education level | primary, secondary, or higher | baseline (day 0) |
| Living situation (qualitative) | Does the patient live at home? or is the patient institutionalized? | baseline (day 0) |
| Presence/absence of a caregiver | baseline (day 0) |
| Hospitalization within the past 3 months? yes/no | baseline (day 0) |
| Has the patient fallen within the past year? yes/no | baseline (day 0) |
| presence/absence of a visual or hearing impairment | baseline (day 0) |
| patient position during evaluation | qualitative variable: in bed, in a wheelchair, sitting down | baseline (day 0) |
| ADL (Activities of Daily Living) score for the 15 days preceding inclusion | baseline (day 0) |
| IADL (Instrumental Activities of Daily Living) score for the 15 days preceding inclusion | baseline (day 0) |
| ADL (Activities of Daily Living) score at the moment of inclusion | baseline (day 0) |
| Clinical and para-clinical examination | baseline (day 0) |
| Evaluation of the patient's physiological state | baseline (day 0) |
| Diagnosis | baseline (day 0) |
| Prescribed drugs | baseline (day 0) |
| Comorbidities (Charlson score) | baseline (day 0) |
| History of dementia, depression or another psychiatric disorder | Notification in the patient's history of dementia, depression or another psychiatric disorder, assessed by NPI-R and Mini GDS. | baseline (day 0) |
| Severity of clinical condition | Severity of clinical condition: MEWS (Subbe CP et al, 2001) and CGI (Guy W 1976) + Charlson scale | baseline (day 0) |
| Presence or absence of dementia before admission | Presence or absence of dementia before admission (IQCODE French version) (Jorm AF 1994 and Law S, 1995) | baseline (day 0) |
| Bois-Guillaume |
| 76230 |
| France |
| APHP - Hôpital Charles Foix | Ivry-sur-Seine | 94205 | France |
| APHM - Hôpital Sainte-Marguerite | Marseille | 13274 | France |
| CHU de Montpellier - Centre Antonin Balmes | Montpellier | 34295 | France |
| CHU de Nice - Hôpital de Cimiez | Nice | 06003 | France |
| CHU de Nîmes - Hôpital Universitaire Carémeau | Nîmes | 30029 | France |
| CHU de Reims - Hôpital Maison Blanche | Reims | 51092 | France |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |