ArticleClinical medicine (London, England)2020
Impact of a system-wide multicomponent intervention on administrative diagnostic coding for delirium and other cognitive frailty syndromes: observational prospective study.
Article in Clinical medicine (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 43 citations in OpenAlex.
- Intraoperative low tidal volume ventilation and the risk of ICD-10 coded delirium and the use for antipsychotic medications.BMC anesthesiology · 2022Trial
- Identifying delirium in older adults presenting to a primary care out-of-hours (OOH) service: a retrospective cohort study.Age and ageing · 2026Article
- Postoperative Delirium After Coronary Artery Bypass Grafting in the United States, 2016-2021: Trends, Risk Factors, and Outcomes.Journal of cardiothoracic and vascular anesthesia · 2026Observational
- Prevalence of cognitive morbidity including delirium in 51,202 emergency hospital admissions across 29 medical and surgical specialties in ORCHARD-EPR: a cross-sectional study.EClinicalMedicine · 2025Article
- Delirium prevalence, diagnostic uncertainty and outcomes in ORCHARD-EPR: validation against prospective reference cohorts.Age and ageing · 2025Article
- Overactive bladder medications and risk of emergency hospital admissions with delirium in adults without dementia: self-controlled case series.Age and ageing · 2025Article
- Analysis of influencing factors of cognitive frailty in older adults community patients based on restricted cubic spline.Frontiers in public health · 2025Article
- Unstable Plaque is a Treatable Cause of Cognitive Decline.Medical hypotheses · 2024Article
- Article
- Delirium and incident dementia in hospital patients in New South Wales, Australia: retrospective cohort study.BMJ (Clinical research ed.) · 2024Article
- Developing a set of emergency department performance measures to evaluate delirium care quality for older adults: a modified e-Delphi study.BMC emergency medicine · 2024Article
- Infection, delirium, and risk of dementia in patients with and without white matter disease on previous brain imaging: a population-based study.The lancet. Healthy longevity · 2024Article
- Infection, Inflammation, and Poststroke Cognitive Impairment.Journal of the American Heart Association · 2024Article
- Care pathways in older patients seen in a multidisciplinary same day emergency care (SDEC) unit.Age and ageing · 2024Article
- Article
- Decision-making capacity in older medical in-patients: frequency of assessment and rates of incapacity by decision-type and underlying brain/mind impairment.Age and ageing · 2023Article
- Trends in delirium coding rates in older hospital inpatients in England and Scotland: full population data comprising 7.7M patients per year show substantial increases between 2012 and 2020.Delirium communications · 2023Article
- Delirium is under-reported in discharge summaries and in hospital administrative systems: a systematic review.Delirium (Bielefeld, Germany) · 2023Article
- Prevalence and outcomes of frailty in unplanned hospital admissions: a systematic review and meta-analysis of hospital-wide and general (internal) medicine cohorts.EClinicalMedicine · 2023Article
- Incidence and associations of hospital delirium diagnoses in 85,979 people with severe mental illness: A data linkage study.Acta psychiatrica Scandinavica · 2023Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe determined the impact of a system-wide multicomponent intervention to improve recognition and documentation of cognitive frailty syndromes on hospital administrative coding for delirium.
methodsA multicomponent intervention including introduction of structured patient assessment including cognitive/delirium screen, regular audit/feedback and educational seminars was undertaken (2012-17). Sensitivity and specificity of administrative
resultsAmong 1,281 consecutive unselected admissions to acute medicine overall (mean / standard deviation age = 70.0/19.2 years; n=615 (48.0%) male), 320 had clinical delirium diagnosis (n=220 delirium only; n=100 delirium on dementia). Sensitivity of delirium coding increased from 12.8% (95% confidence interval (CI) 5.6-26.7) in 2010 to 60.2% (95% CI 50.1-69.7; p
conclusionA multicomponent intervention increased sensitivity of hospital administrative diagnostic coding for delirium almost six-fold without increasing the false positive diagnosis rate.
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