Validation of the 3D-CAM and the UB-CAM in French

Completed

• Conditions: Delirium
• Interventions: Diagnostic Test: Delirium screening using 3D-CAM and UB-CAM

• Registration Number: NCT05242887
• Lead Sponsor: Hospices Civils de Lyon

Brief Summary

Delirium is very common in hospitalized older patients and associated with serious clinical bad outcomes (e.g. increased risk of functional decline and death). Despite its high prevalence in the hospital setting, delirium remains underdiagnosed. A better identification would allow an early management and a reduction of its complications.

The validation of easy-to-use and quick and formalized tools for the identification of delirium and their implementation in the clinical practice are necessary.

Recently, the 3D-CAM (3-minutes Diagnostic interview for Confusion Assessment Method -defined delirium) and the UB-CAM (Ultra-Brief CAM) showed very high sensitivity and specificity (\> 90%), compared to the reference standard (Diagnostic and Statistical Manual of Mental Disorders (DSM criteria)) for the diagnosis of delirium.

The investigators aimed to evaluate the sensitivity and specificity of the French versions of the 3D-CAM and the UB-CAM used in delirium screening in older adults hospitalized in geriatric units, compared to reference standard.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2022-02-07
• Study First Submitted QC: 2022-02-07
• Study First Posted: 2022-02-16
• Study Start: 2022-03-31
• Primary Completion: 2024-03-27
• Study Completion: 2024-03-27
• Status Verified: 2024-04
• Last Update Submitted: 2024-04-03
• Last Update Posted: 2024-04-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• Adults hospitalized in acute geriatric units
• Aged 65 or older
• Patient (or relative) not objecting to participating in the study

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Exclusion Criteria

• Legal protection regimes (guardianship, curatorship)

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Older adults hospitalized in acute geriatric units	Delirium screening using 3D-CAM and UB-CAM	Response to a questionnaire

Primary Outcome Measures

Name	Time	Method
Evaluation of the performance of a rapid diagnostic tool (UB-CAM) for acute confusional state, translated into French	At inclusion	Presence or absence of a confusional state (with UB-CAM and the gold standard: DSM-V criteria)

Secondary Outcome Measures

Name	Time	Method
Evaluation of the time taken to use this tool	At inclusion	Completion time (minutes, seconds)
Evaluation of the diagnostic performance of another diagnostic tool (3D-CAM), already translated into French	At inclusion	Presence or absence of a confusional state (with 3D-CAM and the gold standard: DSM-V criteria)

Trial Locations

Locations (1)

Hôpital des Charpennes, Institut du Vieillissement, Hospices Civils de Lyon; 🇫🇷 Villeurbanne, Lyon, France