Original contributionUnrecognized delirium in ED geriatric patients☆
References (20)
Delirium in the elderly
Emerg Med Clin North Am
(1990)- et al.
Mini-mental state
A practical method for grading the cognitive state of patients for the clinician
J Psychiatr Res
(1975) - et al.
Development and validation of a geriatric depression screening scale: A preliminary report
J Psychiatr Res
(1982–1983) - et al.
Sensory-perceptual alterations: Delirium in the intensive care unit
Heart Lung
(1988) Mental impairment in the elderly
J R Coll Physicians Lond
(1973)Delirium in the elderly patient
N Engl J Med
(1989)Acute confusion in elderly medical patients
J Am Geriatr Soc
(1989)- et al.
Delirium: The often overlooked diagnosis
Int J Psychiatry Med.
(1984) - et al.
Delirium: A test of the Diagnostic and Statistical Manual III criteria on medical inpatients
J Am Geriatr Soc
(1987) - et al.
Assessment of cognitive deficit in geriatric patients
A study of physician behavior
J Am Geriatr Soc
(1985)
Cited by (218)
Limitations in the use of automated mental status detection for clinical decision support
2023, International Journal of Medical InformaticsDelirium and Delirium Prevention in the Emergency Department
2023, Clinics in Geriatric MedicineBalancing Vision With Pragmatism: The Geriatric Emergency Department Guidelines-Realistic Expectations From Emergency Medicine and Geriatric Medicine
2022, Journal of Emergency MedicineCitation Excerpt :With the substantial challenges in providing guideline recommended care in EDs, this article will explore three high-impact GED clinical conditions to highlight guideline recommendations, challenges, and opportunities, and discuss realistically achievable expectations for non–GED-accredited institutions. For nearly 30 years, emergency medicine researchers have demonstrated that approximately 10% of older adults in the ED experience delirium, but it is only recognized in approximately one-third of cases (10,11). Acute delirium in older adults is associated with increased hospital length of stay; accelerated functional and cognitive decline; and post-discharge depression—even when recognized by emergency physicians (12–14).
Increased short-term mortality among patients presenting with altered mental status to the emergency department: A cohort study
2022, American Journal of Emergency MedicineRapid Fire: Acute Brain Failure in Older Emergency Department Patients
2021, Emergency Medicine Clinics of North AmericaCitation Excerpt :Prevalence may be as high as 17%.10–12 Literature consistently has shown that health care providers are poor at recognizing delirium in older ED patients despite the development of multiple validated tools to identify delirium over the past two decades.11,13,14 A recent study showed that delirium was missed in 84.6% of older ED patients.15
Recognition, prevention, and treatment of delirium in emergency department: An evidence-based narrative review
2020, American Journal of Emergency Medicine
- ☆
Supported in part by a grant from the Group Health Foundation, St. Louis, MO.
Presented at the annual meeting of the Society for Academic Emergency Medicine, San Francisco, CA, May, 1993.