Improved detection of delirium, implementation and validation of the CAM-ICU in elderly Emergency Department patients

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Evelien K Van de MeebergJan C Ter Maaten

Abstract

To evaluate the effect of routine use of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) on the diagnosis rate of delirium in elderly Emergency Department (ED) patients and the validity of the CAM-ICU in the ED setting. This was a prospective observational study in a tertiary care academic ED. We compared the diagnosis rate of delirium before implementation of the CAM-ICU, without routine use of a screening tool, with the diagnosis rate after implementation of the CAM-ICU. All consecutive patients aged 70 years or older were enrolled. The diagnosis rate before implementation was based on chart review and after implementation on a positive CAM-ICU score. In a subsample, the presence of delirium was evaluated independently according to the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision (DSM-IV-TR) criteria to assess the validity of the CAM-ICU. The total study population included 968 patients: 490 before and 478 after implementation of the CAM-ICU. The two groups were not significantly different in patient characteristics. Before implementation of the CAM-ICU, delirium was diagnosed in 14 patients (3%) and after implementation in 48 patients (10%) (P<0.001). The sensitivity of ...Continue Reading

References

Jun 1, 1995·Annals of Emergency Medicine·B J NaughtonJ Longano
Mar 1, 1995·The American Journal of Emergency Medicine·L M LewisL C Lasater
Feb 28, 2002·Archives of Internal Medicine·Jane McCuskerEric Belzile
Feb 28, 2002·Annals of Emergency Medicine·Fredric M Hustey, Stephen W Meldon
Mar 27, 2003·Journal of the American Geriatrics Society·Ritsuko KakumaChristina Wolfson
Apr 25, 2003·Annals of Emergency Medicine·Fredric M HusteyCarolyn K Lex
Dec 23, 2003·Journal of the American Geriatrics Society·Jane McCuskerEric Belzile
Mar 4, 2008·Archives of Gerontology and Geriatrics·Yan PressA Mark Clarfield
Jan 22, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jin H HanE Wesley Ely
Apr 7, 2010·Annals of Emergency Medicine·Jin H HanE Wesley Ely
Jul 29, 2010·JAMA : the Journal of the American Medical Association·Joost WitloxWillem A van Gool
Aug 19, 2010·JAMA : the Journal of the American Medical Association·Camilla L WongSharon E Straus
Apr 28, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jin H HanE Wesley Ely
Jun 6, 2012·Respiratory Care·Timothy D Girard
Jul 27, 2012·Emergency Medicine Journal : EMJ·Ewan Alexander Barron, John Holmes
Mar 29, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jin H HanE Wesley Ely

❮ Previous
Next ❯

Citations

Jul 28, 2016·International Journal of Cardiology·Francisco J Martín-SánchezChristian Mueller
Dec 10, 2013·Psychosomatics·Malcolm HareGavin Leslie
Apr 27, 2017·Revista gaúcha de enfermagem·Regina Cláudia da Silva SouzaNilda Rosa de Oliveira Prado
Dec 27, 2018·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Jacinta A LuckeSimon P Mooijaart
Feb 2, 2019·Diseases·Pilar Pérez-Ros, Francisco Miguel Martínez-Arnau
Nov 3, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Christopher R CarpenterUNKNOWN GEAR Network
Feb 9, 2021·Journal of Aging and Health·Kedar MateJinghan Zhang
Apr 18, 2021·Emergency Medicine Clinics of North America·Kami M Hu, Robert M Brown

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.