Pathway to Detection & Differentiation of Delirium & Dementia in the Emergency Department
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cognitive Impairment
- Sponsor
- Yale University
- Enrollment
- 100
- Locations
- 2
- Primary Endpoint
- Rates of Connection With Primary Care
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
This is an observational study of the pragmatic implementation of an ED screening, outpatient referral, and care coordination process for older ED patients who may have UCID.
Detailed Description
Embedded pragmatic, implementation pilot that incorporates training, ED assessment for delirium and dementia risk, referral of ED patients with undiagnosed cognitive impairment and dementia for primary care feedback and care recommendations. This pilot would gather observational data evaluating the feasibility of incorporating cognitive impairment screens into routine ED delirium assessments, and developing optimal work flow for identifying and referring ED patients with suspected (undiagnosed) dementia for confirmatory evaluation and care coordination.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adults age 65 or older
- •Discharged from the adult ED at YNHH or the ED at NMH
Exclusion Criteria
- •Documented or known history of dementia
- •Alcohol/substance intoxication while in the ED
- •Non-English or Non-Spanish speaking
Outcomes
Primary Outcomes
Rates of Connection With Primary Care
Time Frame: 30 days
number of patients with PCP follow-up about brain health plan of the number of patients with outpatient confirmation of Dementia or MCI
Percentage of Patients With Confirmed Delirium or Dementia
Time Frame: 1 year
percentage of patients discharged from ED positive for delirium or dementia among total number of patients 65+
Rates of Outpatient Assessment Referral of Patients With Suspected Dementia
Time Frame: 30 days
number of patients with appointment to Alzheimer's Dementia Centers or geriatrics outpatient clinic / number of patients given information sheet or referred to outpatient clinic
Number of Participants Diagnosed With Dementia Among Those With Completed Outpatient Assessment
Time Frame: Up to 100 days from ED discharge
number of patients diagnosed with dementia (all categories) among those that completed the outpatient assessment