Evidence map›Paper›PMID 26218485›Full record

ReviewAdvanced emergency nursing journal

Assessment and Management of Delirium in Older Adults in the Emergency Department: Literature Review to Inform Development of a Novel Clinical Protocol.

Tony Rosen, Scott Connors, Sunday Clark, Alexis Halpern, Michael E Stern, Jennifer DeWald, Mark S Lachs, Neal Flomenbaum

Abstract readReview
In one paragraph

Review in Advanced emergency nursing journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tony RosenDivision of Emergency Medicine (Drs Rosen, Clark, Halpern, Stern, and Flomenbaum, Mr Connors, and Ms DeWald) and Division of Geriatrics and Palliative Medicine (Mr Connors and Dr Lachs), Weill Cornell Medical College, New York.
Scott Connors
Sunday Clark
Alexis Halpern
Michael E Stern
Jennifer DeWald
Mark S Lachs
Neal Flomenbaum

Funding

Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
Mid Career Mentoring Award In Patient-Oriented ResearchK24AG022399 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI LACHS, MARK STEVEN · 2003 to 2015
$1.4M
NCATS NIH HHS UL1 TR000457NIA NIH HHS K24 AG022399
6 · The paper itself

Abstract

Delirium occurs frequently in older patients in the emergency department (ED), is underrecognized, and has potentially serious consequences. Despite its seriousness, delirium is frequently missed by emergency providers, and patients with unrecognized delirium are often discharged from the ED. Even when it is appropriately recognized, managing delirium in older adults poses a significant challenge for ED providers. Geriatric delirium is typically caused by the interaction of multiple factors, including several that are commonly missed: pain, urinary retention, constipation, dehydration, and polypharmacy. Appropriate management includes nonpharmacological management with medication intervention reserved for emergencies. We have developed a new, comprehensive, evidence-based protocol for diagnosis/recognition, management, and disposition of geriatric delirium patients in the ED with a focus on identifying and treating commonly missed contributing causes.

Indexed as

Clinical ProtocolsEmergency Service, HospitalAgedDeliriumEducation, ContinuingHumans

Identifiers

PMID26218485
PMCPMC4633298

What OpenQuestion holds

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Registered trials

None linked

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.