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Prehospital Emergency Care Volume 17, 2013 - Issue 2
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Original Articles

Diagnostic Accuracy of a Rapid Checklist to Identify Delirium in Older Patients Transported by EMS

Adam FrischFrom the Department of Emergency Medicine, University of Pittsburgh (AF, AH, CM-G, FXG, BPS), Pittsburgh, Pennsylvania; and the University of Pittsburgh School of Medicine (TM), Pittsburgh, Pennsylvania.Correspondence[email protected]
, MD,
Thomas MillerFrom the Department of Emergency Medicine, University of Pittsburgh (AF, AH, CM-G, FXG, BPS), Pittsburgh, Pennsylvania; and the University of Pittsburgh School of Medicine (TM), Pittsburgh, Pennsylvania.
, BS,
Adam HaagFrom the Department of Emergency Medicine, University of Pittsburgh (AF, AH, CM-G, FXG, BPS), Pittsburgh, Pennsylvania; and the University of Pittsburgh School of Medicine (TM), Pittsburgh, Pennsylvania.
, BS,
Christian Martin-GillFrom the Department of Emergency Medicine, University of Pittsburgh (AF, AH, CM-G, FXG, BPS), Pittsburgh, Pennsylvania; and the University of Pittsburgh School of Medicine (TM), Pittsburgh, Pennsylvania.
, MD, MPH,
Francis X. GuyetteFrom the Department of Emergency Medicine, University of Pittsburgh (AF, AH, CM-G, FXG, BPS), Pittsburgh, Pennsylvania; and the University of Pittsburgh School of Medicine (TM), Pittsburgh, Pennsylvania.
, MD, MPH &
Brian P. SuffolettoFrom the Department of Emergency Medicine, University of Pittsburgh (AF, AH, CM-G, FXG, BPS), Pittsburgh, Pennsylvania; and the University of Pittsburgh School of Medicine (TM), Pittsburgh, Pennsylvania.
, MD, MS
Pages 230-234 | Received 05 Sep 2012, Accepted 24 Aug 2012, Published online: 02 Jan 2013

References

  • Elie M, Rousseau F, Cole M, Primeau F, McCusker J, Bellavance F. Prevalence and detection of delerium in elderly emergency department patients. CMAJ. 2000;163:977–81.
  • Francis J. Delirium in older patients. J Am Geriatr Soc. 1992;40:829–38.
  • Siddiqi N, House A. Delirium: an update on diagnosis, treatment and prevention. Clin Med. 2006;6:540–3.
  • McCusker J, Kakuma R, Abrahamowicz M. Predictors of functional decline in hospitalized elderly patients: a systemic review. J Gerontol A Biol Sci Med Sci. 2002;57:M569–77.
  • Gustafson Y, Berggren D, Brannstrom B, Acute confusional states in elderly patients treated for femoral neck fracture. J Am Geriatr Soc. 1988;36:525–30.
  • Inouye SK. Delirium in hospitalized older patients. Clin Geriatr Med. 1998;14:745–64.
  • Han JH, Eden S, Shintani A, Delirium in older emergency department patients is an independent predictor of hospital length of stay. Acad Emerg Med. 2011;18:451–7.
  • Han JH, Zimmerman EE, Cutler N, Delirium in older emergency department patients: recognition, risk factors, and psychomotor subtypes. Acad Emerg Med. 2009;16:193–200.
  • Han JH, Morandi A, Ely EW, Delirium in the nursing home patients seen in the emergency department. J Am Geriatr Soc. 2009;57:889–94.
  • Lundstrom M, Olofsson B, Stenvall M, Postoperative delirium in old patients with femoral neck fracture: a randomized intervention study. Aging Clin Exp Res. 2007;19:178–86.
  • Vidan M, Serra JA, Morena C, Riquelme G, Ortiz J. Efficacy of a comprehensive geriatric intervention in older patients hospitalized for hip fracture: a randomized, controlled trial. J Am Geriatr Soc. 2005;53:1476–82.
  • Inouye SK, Bogardus ST, Charpentier PA, A multicomponent intervention to prevent delirium in hospitalized hospital older patients. N Engl J Med. 1999;340:669–76.
  • Gustafson Y, Brannstrom B, Norberg A, Bucht G, Winbald B. Underdiagnosis and poor documentation of acute confusional states in elderly hip fracture patients. J Am Geriatr Soc. 1991;39:760–5.
  • Ely EW, Siegel MD, Inouye SK. Delirium in the intensive care unit: an under-recognized syndrome of organ dysfunction. Semin Respir Crit Care Med. 2001;22:115–26.
  • Cameron DJ, Thomas RI, Mulvihill M, Bronheim H. Delirium: a test of the Diagnostic and Statistical Manual III criteria on medical inpatients. J Am Geriatr Soc. 1987;35:1007–10.
  • Shah MN, Jones CM, Richardson TM, Conwell Y, Katz P, Schneider SM. Prevalence of depression and cognitive impairment in older adult emergency medical services patients. Prehosp Emerg Care. 2011;15:4–11.
  • Durant E, Fahimi J. Factors associated with ambulance use among patients with low-acuity conditions. Prehosp Emerg Care. 2012;16:329–37.
  • Wong CL, Holyrod-Leduc J, Simel DL, Straus SE. Does this patient have delirium?: value of bedside instruments. JAMA. 2010;304:779–86.
  • Shah MN, Karuza J, Rueckmann E, Swanson P, Conwell Y, Katz P. Reliability and validity of prehospital case finding for depression and cognitive impairment. J Am Geriatr Soc. 2009;57:697–702.
  • Inouye SK. The Confusion Assessment Method (CAM): Training Manual and Coding Guide. New Haven, CT: Yale University School of Medicine, 2003.
  • American Psychiatric Association. Diagnositc and Statistical Manual of Mental Disorders, 4th Edition, Text Revision. Washington, DC: American Psychiatric Association, 2000.
  • Sessler CN, Gosnell MS, Grap MJ, The Richmond Agitation–Sedation Scale: Validity and Reliability in Adult Intensive Care Unit Patients. Am J Respir Crit Care Med. 2002;166:1338–44.
  • Laurila JV, Pitkala KH, Strandberg TE, Tilvis RS. Delirium among patients with and without dementia: does the diagnosis according to the DSM-IV differ from the previous classifications? Int J Geriatr Psychiatry. 2004;19:271–7.
  • Ely EW, Margolin R, Francis J, Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Crit Care Med. 2001;29:1370–9.
  • Shah MN, Bazarian JJ, Lerner EB, The epidemiology of emergency medical services use by older adults: an analysis of the National Hospital Ambulatory Medical Care Survey. Acad Emerg Med. 2007;14:441–7.

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