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
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 289
- 试验地点
- 1
- 主要终点
- Delirium measured by advanced practice nurses using the mCAM-ED
研究概览
简要总结
The proposed Study validates the accuracy of the modified Confusion Assessment Method for the Emergency Department
详细描述
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
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 115 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age >= 65 years
排除标准
- •patients under resuscitation or fatal illness
- •not speaking German
- •being aphasic
- •being deaf
结局指标
主要结局
Delirium measured by advanced practice nurses using the mCAM-ED
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: once during the stay at the emergency department which lasts an average of 24 hours
次要结局
未报告次要终点