Val_mCAM-ED: Testing the Validity of the "Modified Confusion Assessment Method for the Emergency Department" (mCAM-ED)"
Study Details
Study Description
Brief Summary
The proposed Study validates the accuracy of the modified Confusion Assessment Method for the Emergency Department
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Detailed Description
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
Study Design
Outcome Measures
Primary Outcome Measures
- Delirium measured by geriatricians using Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV criteria [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 [once during the stay at the emergency department which lasts an average of 24 hours]
acute confusional states in patients
- Delirium measured by advanced practice nurses using the mCAM-ED [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 [once during the stay at the emergency department which lasts an average of 24 hours]
Eligibility Criteria
Criteria
Inclusion Criteria:
- Age >= 65 years
Exclusion Criteria:
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patients under resuscitation or fatal illness
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not speaking German
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being aphasic
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being deaf
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University Hospital Basel | Basel | Switzerland | 4031 |
Sponsors and Collaborators
- University Hospital, Basel, Switzerland
Investigators
- Study Chair: Wolfgang Hasemann, PhD, usb
Study Documents (Full-Text)
None provided.More Information
Publications
- Han JH, Zimmerman EE, Cutler N, Schnelle J, Morandi A, Dittus RS, Storrow AB, Ely EW. Delirium in older emergency department patients: recognition, risk factors, and psychomotor subtypes. Acad Emerg Med. 2009 Mar;16(3):193-200. doi: 10.1111/j.1553-2712.2008.00339.x. Epub 2009 Jan 20.
- Ryan DJ, O'Regan NA, Caoimh RÓ, Clare J, O'Connor M, Leonard M, McFarland J, Tighe S, O'Sullivan K, Trzepacz PT, Meagher D, Timmons S. Delirium in an adult acute hospital population: predictors, prevalence and detection. BMJ Open. 2013 Jan 7;3(1). pii: e001772. doi: 10.1136/bmjopen-2012-001772.
- Trzepacz, P. T., & Meagher, D. J. (2008). Neuropsychiatric Aspects of Delirium. In S. C. Yudofsky & R. E. Hales (Eds.), Neuropsychiatry and Behavioral Neurosciences (5 ed., pp. 445-518). Washington, DC: American Psychiatric Publishing, Inc.
- EKNZ-2015-123