Evidence map›Paper›PMID 40210345›Full record

ReviewEmergency medicine clinics of North America2025

Delirium Prevention and Management in Older Adults in the Emergency Department.

Rachel M Skains, Sangil Lee, Jin H Han

Abstract readReview
In one paragraph

Review in Emergency medicine clinics of North America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

3 authors.

Rachel M SkainsDepartment of Emergency Medicine, University of Alabama at Birmingham School of Medicine, 521 19th Street South, Suite 203, Birmingham, AL 35233, USA; Geriatric Research, Education, and Clinical Center, Birmingham Veterans Affairs Medical Center, 700 19th Street South, Birmingham, AL 35233, USA. Electronic address: rskains@uabmc.edu.
Sangil LeeDepartment of Emergency Medicine, University of Iowa Carver College of Medicine, 200 Hawkins Drive, 1008 Roy Carver Pavilion, Iowa City, IA 52242, USA. Electronic address: https://twitter.com/kagochi28.
Jin H HanDepartment of Emergency Medicine, Vanderbilt University School of Medicine, 2215 Garland Avenue, Light Hall Suite 203, Nashville, TN 37232, USA; Geriatric Research, Education, and Clinical Center, Tennessee Valley Healthcare Center, 1310 24th Avenue South, Nashville, TN 37212, USA. Electronic address: https://twitter.com/jinhanmd.

Funding

Improving Diagnostic Accuracy for Acute Heart FailureR01HL153607 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI COLLINS, SEAN PATRICK, GUPTA, DEEPAK · 2021 to 2024
$5.9M
Growing the Geriatric Emergency care Applied Research (GEAR 1.1) network: Expanding and sustaining an emergency care aging study infrastructure.R33AG058926 · NIA · YALE UNIVERSITY · PI Ula Y Hwang, Daniella Meeker · 2020 to 2026
$4.6M
GEMRA: Geriatric Emergency Medicine Risk Prediction Model for Return VisitAdmissionsR01AG076998 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Rahul Sharma, Yiye Zhang · 2023 to 2026
$3.0M
Early Cognitive Training and Rehabilitation to Prevent Cognitive Decline in Older Hospitalized Adults with DeliriumR01AG065249 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HAN, JIN HO, JACKSON, JAMES C. · 2020 to 2024
$2.9M
Automating Delirium Identification and Risk Prediction in Electronic Health Records (Supplement)R01AG060993 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KENNEDY, RICHARD E · 2019 to 2022
$1.8M
Comprehensive Assessment of Delirium Risk due to MedicationsR21AG084218 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KENNEDY, RICHARD E, SKAINS, RACHEL MICHELLE · 2024 to 2025
$393k
Risk Factors and Time Course of Incident Delirium Among Older Adults in the Emergency Department (ED)R03AG082923 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SKAINS, RACHEL MICHELLE · 2023 to 2024
$297k
NHLBI NIH HHS R01 HL153607NIA NIH HHS R01 AG060993NIA NIH HHS R01 AG065249NIA NIH HHS R01 AG076998NIA NIH HHS R03 AG082923NIA NIH HHS R21 AG084218NIA NIH HHS R33 AG058926
6 · The paper itself

Abstract

Delirium, acute brain dysfunction, is present in 10% to 35% of older adults in the emergency department (ED) but unrecognized in ∼80% of cases leading to significant adverse outcomes. Thus, routine screening for delirium is vital to improve prevention and management in the ED. The treatment of delirium focuses on addressing the underlying cause. For agitation, nonpharmacologic measures using the Tolerate, Anticipate, and Don't Agitate (TADA) approach and the Assess, Diagnose, Evaluate, Prevent, and Treat (ADEPT) tool are prioritized for management. If unsuccessful, only the lowest effective dose of pharmacologic agents (atypical antipsychotics) should be used for severe symptom control.

Indexed as

DeliriumEmergency Service, HospitalAgedAntipsychotic AgentsHumansAntipsychotic AgentsDeliriumEmergency departmentGeriatricsInterventionManagementPrevention

Identifiers

PMID40210345
PMCPMC11986259

What OpenQuestion holds

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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.