ArticleFrontiers in medicine2024
The 4AT scale for rapid detection of delirium in emergency department triage.
Article in Frontiers in medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Early Diagnosis of Delirium in Geriatric Patients in Emergency Departments: A Systematic Review and Meta-Analysis.Brain sciences · 2026Review
- Demographics, clinical features and outcomes of older patients presenting to an Irish emergency department.Irish journal of medical science · 2026Article
- Review
- Geriatric critical care assessment: key considerations.European geriatric medicine · 2026Review
- Diagnostic test accuracies of 4AT items are consistent across the range of baseline cognition: results from two prospective studies.Age and ageing · 2026Article
- Delirium in older adults in the emergency department: a scoping review of current research and identified knowledge gaps.BMC emergency medicine · 2026Article
- Translation, Cultural Adaptation, and Validation of the Greek Version of the 4 'A's Test for Delirium Screening in Elderly Patients with Hip Fracture.Clinics and practice · 2026Article
- Pharmacological Management of Delirium in Older Adults in the Emergency Department: Clinical Outcomes.Diseases (Basel, Switzerland) · 2026Article
- Development of a Novel Frailty Trigger for Use at Triage in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aims: To assess the diagnostic accuracy and time impact of the 4AT scale in emergency department triage. Methods: A Prospective diagnostic accuracy study was carried out. People aged ≥65 years presenting to the emergency department from 1 November 2021 to 30 June 2022 were included. Nurses opportunistically screened eligible patients using the 4AT scale during triage according to the Manchester Triage System Francesc de Borja Hospital emergency department, Gandía (Spain). Accuracy was compared with medical diagnosis of delirium. Time (seconds) spent in triage with and without screening was assessed. Results: The study included 370 patients (55.1% men, mean age 81.8 years), of whom 58.4% ( Conclusion: A score of 3 points or more on the 4AT scale enables rapid detection of delirium in emergency department triage, without consuming more time than conventional triage.
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