Testing the Validity of the "Modified Confusion Assessment Method for the Emergency Department" (mCAM-ED)"

Completed

• Conditions: Delirium

• Registration Number: NCT02782143
• Lead Sponsor: University Hospital, Basel, Switzerland

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

Study Timeline

• Study Start: 2015-11
• Primary Completion: 2015-12
• Study First Submitted: 2015-12-16
• Study First Submitted QC: 2016-05-20
• Study First Posted: 2016-05-25
• Status Verified: 2016-09
• Study Completion: 2016-09
• Last Update Submitted: 2016-09-12
• Last Update Posted: 2016-09-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 289

Inclusion Criteria

• Age >= 65 years

Exclusion Criteria

• patients under resuscitation or fatal illness
• not speaking German
• being aphasic
• being deaf

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Delirium measured by advanced practice nurses using the mCAM-ED	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	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	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	once during the stay at the emergency department which lasts an average of 24 hours

Trial Locations

Locations (1)

University Hospital Basel; 🇨🇭 Basel, Switzerland