Delirium
Conditions
Keywords
Delirium, CAM, UB-CAM, 3D-CAM
Brief summary
Delirium is very common in hospitalized older patients and associated with serious clinical bad outcomes (e.g. increased risk of functional decline and death). Despite its high prevalence in the hospital setting, delirium remains underdiagnosed. A better identification would allow an early management and a reduction of its complications. The validation of easy-to-use and quick and formalized tools for the identification of delirium and their implementation in the clinical practice are necessary. Recently, the 3D-CAM (3-minutes Diagnostic interview for Confusion Assessment Method -defined delirium) and the UB-CAM (Ultra-Brief CAM) showed very high sensitivity and specificity (\> 90%), compared to the reference standard (Diagnostic and Statistical Manual of Mental Disorders (DSM criteria)) for the diagnosis of delirium. The investigators aimed to evaluate the sensitivity and specificity of the French versions of the 3D-CAM and the UB-CAM used in delirium screening in older adults hospitalized in geriatric units, compared to reference standard.
Interventions
DIAGNOSTIC_TESTDelirium screening using 3D-CAM and UB-CAM
Patients will be evaluated with 3D-CAM and UB-CAM by a trained examiner (geriatrician, resident or neuropsychologist). On the same day, they will be given a reference diagnosis of delirium based on DSM-V criteria by another trained examiner, blind to the results of the UB-CAM and 3D-CAM.
Sponsors
Hospices Civils de Lyon
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults hospitalized in acute geriatric units * Aged 65 or older * Patient (or relative) not objecting to participating in the study
Exclusion criteria
\- Legal protection regimes (guardianship, curatorship)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the performance of a rapid diagnostic tool (UB-CAM) for acute confusional state, translated into French | At inclusion | Presence or absence of a confusional state (with UB-CAM and the gold standard: DSM-V criteria) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the time taken to use this tool | At inclusion | Completion time (minutes, seconds) |
| Evaluation of the diagnostic performance of another diagnostic tool (3D-CAM), already translated into French | At inclusion | Presence or absence of a confusional state (with 3D-CAM and the gold standard: DSM-V criteria) |
Countries
France
Outcome results
None listed