Pathway to Detection & Differentiation of Delirium & Dementia in the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Rates of Connection With Primary Care
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults age 65 or older
- •Discharged from the adult ED at YNHH or the ED at NMH
排除标准
- •Documented or known history of dementia
- •Alcohol/substance intoxication while in the ED
- •Non-English or Non-Spanish speaking
结局指标
主要结局
Rates of Connection With Primary Care
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: Up to 100 days from ED discharge
number of patients diagnosed with dementia (all categories) among those that completed the outpatient assessment
次要结局
未报告次要终点