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

Delirium is common in older emergency department (ED) patients and often remains unrecognized. Existing instruments to detect delirium are often time consuming and therefore not feasible in the busy ED setting In this study the investigators tested the feasibility of the newly developed modified confusion assessment method (mCAM-ED).

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Key information

Conditions

Delirium Confusion Mental Disorders Nervous System Diseases Neurobehavioral Manifestations Neurocognitive Disorders Neurologic Manifestations Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University Hospital Basel

Basel, 4031, Switzerland

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

patients aged 65 or older

Exclusion criteria

patients treated in the resuscitation room
patients transferred or discharged within 2 hours of arrival
patients with insufficient proficiency in the German language
patients with an inability to communicate (e.g. aphasic patients)

Treatment and study plan

Primary outcomes

delirium

Time frame: two hours after ED admission

Delirium was assessed by research assistants using the mCAM-ED. Patients with a positive delirium diagnosis were presented to a senior emergency physician (PI) who served as the reference standard. The final delirium diagnosis was based on the DSM IV criteria

Secondary outcomes

adherence of ED staff to mCAM-ED algorithm

Time frame: At patient discharge or transfer from ED (average 4 hours after presentation)

Adherence was achieved when the mCAM-ED result was documented by the ED nurses.

Sponsors and collaborators

Lead sponsor

University Hospital, Basel, Switzerland

Other

Registry information

Official study title

Pilot Study on the Feasibility of the Modified Confusion Assessment Method for the Emergency Department (mCAM-ED)

Important dates

Study start: 2013
Primary completion: 2013
First posted: Feb 4, 2014
Registry last updated: Feb 4, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed