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Delirium is common in older emergency department (ED) patients and often remains unrecognized. Existing instruments to detect delirium are often time consuming and therefore not feasible in the busy ED setting In this study the investigators tested the feasibility of the newly developed modified confusion assessment method (mCAM-ED).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| pre-test group | All patients aged 65 or older presenting to the ED during the pre-test period | ||
| post-test period | All patients aged 65 or older presenting to the ED in the post-test period |
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| Measure | Description | Time Frame |
|---|---|---|
| delirium | Delirium was assessed by research assistants using the mCAM-ED. Patients with a positive delirium diagnosis were presented to a senior emergency physician (PI) who served as the reference standard. The final delirium diagnosis was based on the DSM IV criteria | two hours after ED admission |
| Measure | Description | Time Frame |
|---|---|---|
| adherence of ED staff to mCAM-ED algorithm | Adherence was achieved when the mCAM-ED result was documented by the ED nurses. | At patient discharge or transfer from ED (average 4 hours after presentation) |
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Inclusion Criteria:
Exclusion Criteria:
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The samples consisted of consecutive ED patients.
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| Name | Affiliation | Role |
|---|---|---|
| Christian H Nickel, MD | University Hospital, Basel, Switzerland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Basel | Basel | 4031 | Switzerland |
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| ID | Term |
|---|---|
| D003693 | Delirium |
| ID | Term |
|---|---|
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |