What is the Delirium Bibliography? The searchable Delirium Bibliography page is one of our most popular features, allowing you to quickly gain access to the literature on delirium and acute care of older persons. It is primarily intended for clinicians and researchers interested in exploring these topics. The NIDUS team keeps it updated for you on a monthly basis!
How to Search for Articles: Search by author, title, year, and/or keywords. Each article is indexed by keywords taken from MEDLINE and other relevant databases. Click on the title of the article to read the abstract, journal, etc.
Reference Information
- Title
- An evaluation of single question delirium screening tools in older emergency department patients.
- Authors
- Han, J. H. Wilson, A. Schnelle, J. F. Dittus, R. S. Wesley Ely, E.
- Year
- 2018
- Journal
- American Journal of Emergency Medicine
- Abstract
Objectives: To determine the diagnostic performances of several single question delirium screens. To the patient we asked: “Have you had any difficulty thinking clearly lately?” To the patient’s surrogate, we asked: “Is the patient at his or her baseline mental status?” and “Have you noticed the patient’s mental status fluctuate throughout the course of the day?” Methods: This was a prospective observational study that enrolled English speaking patients 65 years or older. A research assistant (RA) and emergency physician (EP) independently asked the patient and surrogate the single question delirium screens. The reference standard for delirium was a consultation-liaison psychiatrist’s assessment using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria. All assessments were performed within 3 h and were all blinded to each other. Results: Of the 406 patients enrolled, 50 (12%) were delirious. A patient who was unable to answer the question “Have you had any difficulty thinking clearly lately?” was 99.7% (95% CI: 98.0%–99.9%) specific, but only 24.0% (95% CI: 14.3%–37.4%) sensitive for delirium when asked by the RA. The baseline mental status surrogate question was 77.1% (95% CI: 61.0%–87.9%) sensitive and 87.5% (95% CI: 82.8%–91.1%) specific for delirium when asked by the RA. The fluctuating course surrogate question was 77.1% (95% CI: 61.0%–87.9%) sensitive and 80.2% (95% CI: 74.8%–84.7%) specific. When asked by the EP, the single question delirium screens’ diagnostic performances were similar. Conclusions: The patient and surrogate single question delirium assessments may be useful for delirium screening in the ED.
- PMID
- Keywords
adult
article
consultation
delirium
diagnostic test accuracy study
diagnostic value
DSM-IV-TR
emergency physician
emergency ward
female
human
major clinical study
male
mental health
observational study
prospective study
psychiatrist
scientist
speech
thinking
- Page(s)
- Volume
- Issue
| Title | Authors | Journal | Year | Keywords |
|---|---|---|---|---|
| Undiagnosed delirium is frequent and difficult to predict: Results from a prevalence survey of a tertiary hospital. | Lange, P. W. Lamanna, M. Watson, R. Maier, A. B. | J Clin Nurs | 2019 |
Undiagnosed delirium |