Delirium Mental and Behavioural Disorders Delirium, unspecified
Conditions
Interventions
Participants will undergo two assessments for detecting delirium:
1. The 4AT, a quick, easy to use test, which takes around 2 min to complete
2. A reference standard delirium assessment, which takes
Sponsors
University of Edinburgh
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18 years or over 2. Acutely admitted to a specialist palliative care inpatient unit
Exclusion criteria
Exclusion criteria: 1. Acute life-threatening illness requiring time-critical intervention 2. Coma 3. Unable to communicate in English. (The cognitive tests used have not been validated in non-English speakers, hence the study only includes patients who can communicate fluently in English.) 4. Severe dysphasia 5. Combined severe hearing and visual impairment, which would limit participation in the study’s tests 6. High level of patient and family distress, as judged by the clinical team
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The accuracy of the 4AT in detecting delirium amongst hospice inpatients compared to the reference standard assessment centred on the DSM-5 criteria for delirium 2. The diagnostic accuracy of the 4AT assessed using specificity, sensitivity, positive and negative predictive values Measured at a single study visit | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
Scotland, United Kingdom
Outcome results
None listed