Delirium Bibliography

Delirium Bibliography books graphicWhat 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
Early geriatric consultation increases adherence to TQIP Geriatric Trauma Management Guidelines.
Authors
Southerland, L. T. Gure, T. R. Ruter, D. I. Li, M. M. Evans, D. C.
Year
2017
Journal
J Surg Res
Abstract

BACKGROUND: The American College of Surgeons’ Trauma Quality Improvement Program (TQIP) Geriatric Trauma Management Guidelines recommend geriatric consultation for injured older adults. However it is not known how or whether geriatric consultation improves compliance to these quality measures. METHODS: This study is a retrospective chart review of our institutional trauma databank. Adherence to quality measures was compared before and after implementation of specific triggers for geriatric consultation. Secondary analyses evaluated adherence by service: trauma service (Trauma) or a trauma service with early geriatric consultation (GeriTrauma). RESULTS: The average age of the 245 patients was 76.7 years, 47% were women, and mean Injury Severity Score was 9.5 (SD +/-8.1). Implementation of the GeriTrauma collaborative increased geriatric consultation rates from 2% to 48% but had minimal effect on overall adherence to TQIP quality measures. A secondary analysis comparing those in the post implementation group who received geriatric consultation (n = 94) to those who did not (n = 103) demonstrated higher rates of delirium diagnosis (36.2% vs 14.6%, P < 0.01) and better documentation of initial living situation, code status, and medication list in the GeriTrauma group. Physical therapy was consulted more frequently for GeriTrauma patients (95.7% vs 68.0%, P < 0.01) Documented goals of care discussions were rare and difficult to abstract. A subgroup analysis of only patients with fall-related injuries demonstrated similar outcomes. CONCLUSIONS: Early geriatric consultation increases adherence to TQIP guidelines. Further research into the long term significance and validity of these geriatric trauma quality indicators is needed.

PMID

28807214

Keywords

Aged
Aged, 80 and over
Female
Geriatric Assessment/*statistics & numerical data
Guideline Adherence/*statistics & numerical data
Humans
Male
Outcome and Process Assessment (Health Care)
Practice Guidelines as Topic
Quality Improvement/*statistics & numerical data
Quality Indicators, Health Care/statistics & numerical data
Retrospective Studies
Trauma Centers/*standards/statistics & numerical data
Wounds and Injuries/diagnosis/*therapy
Geriatric consultation
Geriatrics
Quality measures
Tqip
Trauma

Page(s)
56-64
Issue

Search:
Total Records Found: 6201, showing 100 per page
TitleAuthorsJournalYearKeywords
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
delirium
delirium diagnosis
delirium epidemiology
delirium prevention and control