Clinical Trial: Testing the Validity of the "Modified Confusion Assessment Method for the Emergency Department" (mCAM-ED)"

Study Status: Completed
Recruit Status: Completed
Study Type: Observational

Official Title: Testing the Validity of the "Modified Confusion Assessment Method for the Emergency Department" (mCAM-ED)" for the Recognition of Delirium in Elderly Patien

Brief Summary: The proposed Study validates the accuracy of the modified Confusion Assessment Method for the Emergency Department

Detailed Summary: 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
Sponsor: University Hospital, Basel, Switzerland

Current Primary Outcome:

  • Delirium measured by geriatricians using Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV criteria [ Time Frame: 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 [ Time Frame: 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 [ Time Frame: 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 [ Time Frame: once during the stay at the emergency department which lasts an average of 24 hours ]


Original Primary Outcome: Same as current

Current Secondary Outcome:

Original Secondary Outcome:

Information By: University Hospital, Basel, Switzerland

Dates:
Date Received: December 16, 2015
Date Started: November 2015
Date Completion:
Last Updated: September 12, 2016
Last Verified: September 2016