Feasibility of the Modified Confusion Assessment Method for the Emergency Department (mCAM-ED)

Completed

• Conditions: Delirium

• Registration Number: NCT02054169
• Lead Sponsor: University Hospital, Basel, Switzerland

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).

Detailed Description

Not available

Study Timeline

• Study Start: 2013-08
• Primary Completion: 2013-08
• Study First Submitted: 2014-01-31
• Status Verified: 2014-02
• Study First Submitted QC: 2014-02-03
• Last Update Submitted: 2014-02-03
• Study First Posted: 2014-02-04
• Last Update Posted: 2014-02-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 340

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)

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
delirium	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 Outcome Measures

Name	Time	Method
adherence of ED staff to mCAM-ED algorithm	At patient discharge or transfer from ED (average 4 hours after presentation)	Adherence was achieved when the mCAM-ED result was documented by the ED nurses.

Trial Locations

Locations (1)

University Hospital Basel; 🇨🇭 Basel, Switzerland