Delirium, an acute condition characterized by reduced awareness, emotional disturbance,
and mental confusion, is associated with increased morbidity and mortality [
1
,
2
,
3
]. In the emergency department (ED), delirium affects 7 to 10% of older adult patients
but is overlooked in more than half of cases [
[3]
]. Delirium screening tools have been created to improve detection in at-risk patients
and seem promising. However, provider time constraints, insufficient training, and
the lack of a universal diagnostic assessment tool inhibit widespread utilization
[
[4]
]. By 2017, 20% of all ED visits in the United States were from those aged 60 and
older [
[5]
]. Improving delirium detection and treatment in the ED may improve outcomes in a
substantial patient population.To read this article in full you will need to make a payment
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References
- The diagnosis of delirium among elderly patients presenting to the emergency department of an acute hospital.Arch Gerontol Geriatr. 2009; 48: 201-204
- Delirium in older persons.N Engl J Med. 2006; 354: 1157-1165
- Delirium risk prediction, healthcare use and mortality of elderly adults in the emergency department.J Am Geriatr Soc. 2014; 62: 462-469
- Emergency medical service, nursing, and physician providers’ perspectives on delirium identification and management.Dementia. 2017; 16: 329-343
- Emergency department visits among adults aged 60 and over: United States, 2014–2017.NCHS Data Brief. 2020; 367: 1-8
- Diagnosing delirium in older emergency department patients: validity and reliability of the delirium triage screen and the brief confusion assessment method.Ann Emerg Med. 2013; 62: 457-465
- Individual Comparisons by Ranking Methods. Breakthroughs in Statistics.Springer, 1992: 196-202
- Stata Statistical Software: Release 16.StataCorp LLC, College Station, TX2019
- Quality indicators for geriatric emergency care.Acad Emerg Med. 2009; 16: 441-449
- Quality indicators for a geriatric emergency care (GeriQ-ED)–an evidence-based delphi consensus approach to improve the care of geriatric patients in the emergency department.Scand J Trauma Resusc Emerg Med. 2020; 28: 1-7
- Developing delirium best practice: a systematic review of education interventions for healthcare professionals working in inpatient settings.European Geriatric Medicine. 2020; : 1-32
- The geriatric emergency nursing education (GENE) course: an evaluation.J Emerg Nurs. 2008; 34: 396-402
- Validation of the brief confusion assessment method for screening delirium in elderly medical patients in a German emergency department.Acad Emerg Med. 2018; 25: 1251-1262
Article Info
Publication History
Published online: January 16, 2021
Accepted:
January 12,
2021
Received in revised form:
January 11,
2021
Received:
December 28,
2020
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2021 Elsevier Inc. All rights reserved.
