ArticleAging clinical and experimental research2021
Development and validation of a delirium risk assessment tool in older patients admitted to the Emergency Department Observation Unit.
Article in Aging clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 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
- 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
- Interprofessional and interdisciplinary management of nonwithdrawal delirium in a geriatric trauma center-A practical guide.Zeitschrift fur Gerontologie und Geriatrie · 2026Review
- Targeted Delirium Screening in At-risk Older Adults in the Emergency Department Improves Screening Rates.Journal of the American College of Emergency Physicians open · 2026Article
- Caring for older adults in the Emergency Department: a Delphi-based national consensus by the Academy of Emergency Medicine and Care and the Italian Society of Gerontology and Geriatrics.European geriatric medicine · 2026Article
- Bridging the gap in delirium management: a European comparison of geriatric practices.European geriatric medicine · 2026Article
- Postoperative delirium-Case report of successful treatment with daridorexant.Zeitschrift fur Gerontologie und Geriatrie · 2026Article
- Observational study on the comparability of the clinical profiles of older adults with hip fractures and pelvic fractures in Germany.Zeitschrift fur Gerontologie und Geriatrie · 2026Article
- Delirium in older adults in the emergency department: a scoping review of current research and identified knowledge gaps.BMC emergency medicine · 2026Article
- Validation of 4 Risk Stratification Tools for Delirium in the Emergency Department.JAMA network open · 2025Article
- Determining the ground truth for the prediction of delirium in adult patients in acute care: a scoping review.JAMIA open · 2025Review
- Evaluation of drug prescriptions on hospital admission in older trauma patients using the Fit fOR The Aged (FORTA) rules.Zeitschrift fur Gerontologie und Geriatrie · 2024Observational
- [Risk assessment in geriatric traumatology : Crucial role of anesthesiology].Zeitschrift fur Gerontologie und Geriatrie · 2024Review
- Applying a transformer architecture to intraoperative temporal dynamics improves the prediction of postoperative delirium.Communications medicine · 2024Article
- Comprehensive geriatric assessment for predicting postoperative delirium in oral and maxillofacial surgery: a prospective cohort study.Scientific reports · 2024Article
- Postoperative delirium in oral and maxillofacial surgery: a scoping review.Head & face medicine · 2024Article
- Delirium in psychiatric settings: risk factors and assessment tools in patients with psychiatric illness: a scoping review.BMC nursing · 2024Article
- A multi-institutional prospective observational study to evaluate fascia iliaca compartment block (FICB) for preventing delirium in adults with hip fracture.Trauma surgery & acute care open · 2022Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelirium is frequent though undetected in older patients admitted to the Emergency Department (ED).
aimsTo develop and validate a delirium risk assessment tool for older persons admitted to the ED Observation Unit (OU).
methodsWe used data from two samples of 65 + year-old patients, one admitted to the ED of Brescia Hospital (n = 257) and one to the ED of Desio Hospital (n = 107), Italy. Data from Brescia were used as training sample, those collected in Desio as testing one. Delirium was assessed using the 4AT and patients' characteristic were retrieved from medical charts. Variables found to be associated with delirium in the training sample were tested for the creation of a delirium risk assessment tool. The resulting tool's performances were assessed in the testing subsample.
resultsOf all possible scores tested, the combination with the highest discriminative ability in the training sample included: age ≥ 75 years, dementia diagnosis, chronic use of neuroleptics, and hearing impairment. The delirium score exhibited an AUC of 0.874 and 0.893 in the training and testing samples, respectively. For a 1-point increase in the score, the odds of delirium increased more than twice in both samples. DISCUSSION: We propose a delirium risk assessing tool that includes variables that can be easily collected at ED admission and that can be calculated rapidly.
conclusionA risk assessment tool could help improving delirium detection in older persons referring to ED.
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