Evidence map›Paper›PMID 33969341›Full record

ArticleJournal of the American College of Emergency Physicians open2021

ED-DEL: Development of a change package and toolkit for delirium in the emergency department.

Maura Kennedy, Margaret Webb, Sarah Gartaganis, Ula Hwang, Kevin Biese, Amy Stuck, Adriane Lesser, Tammy Hshieh, Sharon K Inouye

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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 · 2024
    Pooled it
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  7. Review
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  11. Observational
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  13. ED-DEL: Development of a change package and toolkit for delirium in the emergency department.Journal of the American College of Emergency Physicians open · 2021
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  14. Article
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

9 authors.

Maura KennedyDepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USA.
Margaret WebbAging Brain Center Marcus Institute for Aging Research Hebrew SeniorLife Boston Massachusetts USA.
Sarah GartaganisAging Brain Center Marcus Institute for Aging Research Hebrew SeniorLife Boston Massachusetts USA.
Ula HwangDepartment of Emergency Medicine Yale School of Medicine New Haven Connecticut USA.
Kevin BieseDepartment of Emergency Medicine Division of Geriatric Emergency Medicine University of North Carolina Chapel Hill North Carolina USA.
Amy StuckStrategy Department West Health Institute San Diego California USA.
Adriane LesserClinical Research Department West Health Institute San Diego California USA.
Tammy HshiehDepartment of Medicine Harvard Medical School Boston Massachusetts USA.
Sharon K InouyeAging Brain Center Marcus Institute for Aging Research Hebrew SeniorLife Boston Massachusetts USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Delirium is a common and deadly problem in the emergency department affecting up to 30% of older adult patients. The 2013 Geriatric Emergency Department guidelines were developed to address the unique needs of the growing older population and identified delirium as a high priority area. The emergency department (ED) environment presents unique challenges for the identification and management of delirium, including patient crowding, time pressures, competing priorities, variable patient acuity, and limitations in available patient information. Accordingly, protocols developed for inpatient units may not be appropriate for use in the ED setting. We created a Delirium Change Package and Toolkit in the Emergency Department (ED-DEL) to provide protocols and guidance for implementing a delirium program in the ED setting. This article describes the multistep process by which the ED-DEL program was created and the key components of the program. Our ultimate goal is to create a resource that can be disseminated widely and used to improve delirium identification, prevention, and management in older adults in the ED.

Indexed as

agingdeliriumemergency departmentgeriatricsorganizational innovationquality assurancequality improvement

Identifiers

PMID33969341
PMCPMC8082702

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.