ArticleJournal of the American Geriatrics Society2014
Delirium risk prediction, healthcare use and mortality of elderly adults in the emergency department.
Article in Journal of the American Geriatrics Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 9 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
86 citing papers in PubMed, 9 syntheses or guidelines pooled it, 212 citations in OpenAlex.
- Risk factors associated with delirium in older emergency department patients: A systematic review and meta-analysis.Medicine · 2026Pooled it
- GRADE-Based Clinical Practice Guidelines for Emergency Department Delirium Risk Stratification, Screening, and Brain Imaging in Older Patients With Suspected Delirium.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Guideline
- The Italian guideline on diagnosis and treatment of dementia and mild cognitive impairment.Age and ageing · 2024Guideline
- Risk factors and risk stratification approaches for delirium screening: A Geriatric Emergency Department Guidelines 2.0 systematic review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Pooled it
- Delirium detection in the emergency department: A diagnostic accuracy meta-analysis of history, physical examination, laboratory tests, and screening instruments.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Pooled it
- Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) for the diagnosis of delirium in adults in critical care settings.The Cochrane database of systematic reviews · 2023Pooled it
- Predisposing and Precipitating Factors Associated With Delirium: A Systematic Review.JAMA network open · 2023Pooled it
- Can we improve delirium prevention and treatment in the emergency department? A systematic review.Journal of the American Geriatrics Society · 2022Pooled it
- Associations of delirium with urinary tract infections and asymptomatic bacteriuria in adults aged 65 and older: A systematic review and meta-analysis.Journal of the American Geriatrics Society · 2021Pooled it
- Delirium in Older Adults Presenting to the Emergency Department: Prevalence, Risk Factors, Management Strategies, and Hospital Utilization Outcomes.Journal of general internal medicine · 2026Article
- The Single Question in Delirium as a suitable tool to improve delirium detection in hospitalized older patients.European geriatric medicine · 2025Article
- Validation of 4 Risk Stratification Tools for Delirium in the Emergency Department.JAMA network open · 2025Article
- Outcomes of Older Adults With Delirium Discharged From the Emergency Department.Annals of emergency medicine · 2025Article
- Stranded in the emergency department: an analysis of boarding trends in older adults in the United States.Health affairs scholar · 2025Article
- The role of vital signs in predicting mortality risk in elderly patients visiting the emergency department.BMC emergency medicine · 2025Article
- Association of postoperative delirium with visual acuity after ophthalmic surgeries under local anesthesia.Japanese journal of ophthalmology · 2025Article
- Determining the ground truth for the prediction of delirium in adult patients in acute care: a scoping review.JAMIA open · 2025Review
- Delirium Prevention and Management in Older Adults in the Emergency Department.Emergency medicine clinics of North America · 2025Review
- Impact of Living Arrangements on Delirium in Older ED Patients.Journal of clinical medicine · 2025Article
- Neuron-specific enolase and Tau protein as biomarkers for sepsis-associated delirium: a cross-sectional pilot study.Einstein (Sao Paulo, Brazil) · 2025Article
26 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo create a risk prediction rule for delirium in elderly adults in the emergency department (ED) and to compare mortality and resource use of elderly adults in the ED with and without delirium.
designProspective observational study.
settingUrban tertiary care ED.
participantsIndividuals aged 65 and older presenting for ED care (N = 700). MEASUREMENTS: A trained research assistant performed a structured mental status assessment and attention tests, after which delirium was determined using the Confusion Assessment Method. Data were collected on participant demographics, comorbidities, medications, ED course, hospital and intensive care unit (ICU) admission, length of stay, hospital charges, 30-day rehospitalization, and mortality.
resultsNine percent of elderly study participants had delirium. Using logistic regression, a delirium prediction rule consisting of older age, prior stroke or transient ischemic attack, dementia, suspected infection, and acute intracranial hemorrhage was created had good predictive accuracy (area under the receiver operating characteristic curve = 0.77). Admitted participants with ED delirium had longer median lengths of stay (4 vs 2 days) and were more likely to require ICU admission (13% vs 6%) and to be discharged to a new long-term care facility (37% vs 9%) than those without. In all participants, ED delirium was associated with higher 30-day mortality (6% vs 1%) and 30-day readmission (27% vs 13%).
conclusionThis risk prediction rule may help identify a group of individuals in the ED at high risk of developing delirium who should undergo screening, but it requires external validation. Identification of delirium in the ED may enable physicians to implement strategies to decrease delirium duration and avoid inappropriate discharge of individuals with acute delirium, improving outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.