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

Testing the Validity of the Modified Confusion Assessment Method for the Emergency Department (mCAM-ED) for the Recognition of Delirium in Elderly Patient Admitted to the Emergency Department

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02782143

Acronym

Val_mCAM-ED

Enrollment

289

Registered

2016-05-25

Start date

2015-11-30

Completion date

2016-09-30

Last updated

2016-09-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Delirium

Keywords

delirium detection

Brief summary

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

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

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

65 Years to 115 Years

Healthy volunteers

Yes

Inclusion criteria

* Age \>= 65 years

Exclusion criteria

* patients under resuscitation or fatal illness * not speaking German * being aphasic * being deaf

Design outcomes

Primary

Measure	Time frame	Description
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	—

Countries

Switzerland

Outcome results