Testing the Validity of the "Modified Confusion Assessment Method for the Emergency Department" (mCAM-ED)" for the Recognition of Delirium in Elderly Patient Admitted to the Emergency Department
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Delirium
- Sponsor
- University Hospital, Basel, Switzerland
- Enrollment
- 289
- Locations
- 1
- Primary Endpoint
- Delirium measured by advanced practice nurses using the mCAM-ED
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The proposed Study validates the accuracy of the modified Confusion Assessment Method for the Emergency Department
Detailed Description
Delirium is a complex neuropsychiatric syndrome with sudden change in cognition such as disturbance in orientation or memory particularly in elderly patients in the context of acute illness. Multiple complications such as falls or increased duration of hospitalisation may result in delirium. Long-term consequences may result in increased mortality rates and higher admissions rates to nursing homes. In 2012, delirium prevalence in the Emergency Department (ED) of the University Hospital Basel was 9.5% in patients with 65 years and over. Although a systematic delirium management was introduced in 2012, without systematic screening delirium detection rates varies between 20 and 40% only. The risk of non-detection over the complete hospitalisation is high when early delirium detection did not occur in the ED. In a preliminary evaluation we could show the usefulness of the mCAM-ED
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age \>= 65 years
Exclusion Criteria
- •patients under resuscitation or fatal illness
- •not speaking German
- •being aphasic
- •being deaf
Outcomes
Primary Outcomes
Delirium measured by advanced practice nurses using the mCAM-ED
Time Frame: once during the stay at the emergency department which lasts an average of 24 hours
acute confusional states in patients
Delirium measured by geriatricians using Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV criteria
Time Frame: once during the stay at the emergency department which lasts an average of 24 hours
acute confusional states in patients
Delirium measured by geriatricians using DSM-5 criteria
Time Frame: once during the stay at the emergency department which lasts an average of 24 hours
acute confusional states in patients
degree of concordance between nurses' delirium measurement versus geriatricians' delirium measurement assessed in a four field matrix
Time Frame: once during the stay at the emergency department which lasts an average of 24 hours