Pilot Study on the Feasibility of the Modified Confusion Assessment Method for the Emergency Department (mCAM-ED)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Delirium
- Sponsor
- University Hospital, Basel, Switzerland
- Enrollment
- 340
- Locations
- 1
- Primary Endpoint
- delirium
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
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).
Investigators
Christian Nickel
MD
University Hospital, Basel, Switzerland
Eligibility Criteria
Inclusion Criteria
- •patients aged 65 or older
Exclusion Criteria
- •patients treated in the resuscitation room
- •patients transferred or discharged within 2 hours of arrival
- •patients with insufficient proficiency in the German language
- •patients with an inability to communicate (e.g. aphasic patients)
Outcomes
Primary Outcomes
delirium
Time Frame: two hours after ED admission
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
Secondary Outcomes
- adherence of ED staff to mCAM-ED algorithm(At patient discharge or transfer from ED (average 4 hours after presentation))