ArticleInternal and emergency medicine2018
Screening and detection of delirium in older ED patients: performance of the modified Confusion Assessment Method for the Emergency Department (mCAM-ED). A two-step tool.
Article in Internal and emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- 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
- 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
- Screening instruments for cognitive impairment in older patients in the Emergency Department: a systematic review and meta-analysis.Age and ageing · 2021Pooled it
- On-site physiotherapy in older emergency department patients following a fall: a randomized controlled trial.European geriatric medicine · 2025Trial
- Detecting Distress in Cognitively Impaired People to Prevent Suffering: Protocol for an Observational Feasibility Study of a Radar-Based Technology Augmented with Photoplethysmographic Sensors and Audio Signals (SURREAL).Sensors (Basel, Switzerland) · 2026Article
- Delirium in older adults in the emergency department: a scoping review of current research and identified knowledge gaps.BMC emergency medicine · 2026Article
- Contextual Analysis and Implementation Strategies for an Age-Friendly Emergency Department Uptake: The FRED Study Protocol.Journal of the American Geriatrics Society · 2026Article
- Delirium in nursing homes and long-term care facilities: findings of a scoping review of detection tools.European geriatric medicine · 2025Article
- Prevalence, risk factors and impact of delirium in adult inpatients in a tertiary care hospital: A point prevalence study.Journal of clinical nursing · 2025Article
- Nonspecific stress biomarkers for mortality prediction in older emergency department patients presenting with falls: a prospective multicenter observational study.Internal and emergency medicine · 2025Observational
- Delirium screening in the emergency department: evaluation and intervention.Israel journal of health policy research · 2024Article
- The 4AT scale for rapid detection of delirium in emergency department triage.Frontiers in medicine · 2024Article
- Detecting delirium in nursing home residents using the Informant Assessment of Geriatric Delirium (I-AGeD): a validation pilot study.European geriatric medicine · 2022Article
- Comparison of delirium detection tools in acute care : A rapid review.Zeitschrift fur Gerontologie und Geriatrie · 2022Review
- Delirium Prevention, Detection, and Treatment in Emergency Medicine Settings: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Article
- Quality indicators for a geriatric emergency care (GeriQ-ED) - an evidence-based delphi consensus approach to improve the care of geriatric patients in the emergency department.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Detecting delirium in elderly medical emergency patients: validation and subsequent modification of the German nursing delirium screening scale-comment.Internal and emergency medicine · 2019Article
- Detecting delirium in elderly medical emergency patients: validation and subsequent modification of the German Nursing Delirium Screening Scale.Internal and emergency medicine · 2019Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Delirium is frequent in older Emergency Department (ED) patients, but detection rates for delirium in the ED are low. To aid in identifying delirium, we developed and implemented a two-step systematic delirium screening and assessment tool in our ED: the modified Confusion Assessment Method for the Emergency Department (mCAM-ED). Components of the mCAM-ED include: (1) screening for inattention, the main feature of delirium, which was performed with the Months Backwards Test (MBT); (2) delirium assessment based on a structured interview with questions from the Mental Status Questionnaire by Kahn et al. and the Comprehension Test by Hart et al. The aims of our study are (1) to investigate the performance criteria of the mCAM-ED tool in a consecutive sample of older ED patients, (2) to evaluate the performance of the mCAM-ED in patients with and without dementia and (3) to test whether this tool is efficient in keeping evaluation time to a minimum and reducing screening and assessment burden on the patient. For this prospective validation study, we recruited a consecutive sample of ED patients aged 65 and older during an 11-day period in November 2015. Trained nurses assessed patients with the mCAM-ED. Results were compared to the reference standard [i.e. the geriatricians' delirium diagnosis based on the criteria of the Text Revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR)]. Performance criteria were computed. We included 286 consecutive ED patients aged 65 and older. The median age was 80.02 (Q
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