Navigation Links
Regenstrief and IU review finds lack of delirium screening in the emergency department

INDIANAPOLIS -- Delirium in older patients in an emergency room setting can foretell other health issues. But according to a new study published in the Annals of Emergency Medicine, the condition is frequently overlooked because of a lack of screening tools in emergency departments.

An estimated one in 10 older adults seen in hospital emergency departments in the United States experiences delirium, but this acute change in mental status is often not recognized. Researchers from the Regenstrief Institute and Indiana University conducted a systematic review of existing studies on delirium in emergency departments and found that neither completely validated delirium screening instruments nor an ideal schedule to perform delirium assessments exist there.

The emergency department is a unique environment with significant time pressure challenges. Emergency department physicians typically don't have long-term relationships with patients; they are often unaware of patients' baseline mental status as the health care team tends to the emergency.

"Fewer than a third of older adults with delirium in the ED are being recognized, and we need to improve that detection rate," said Regenstrief Institute investigator Michael A. LaMantia, M.D., MPH, who led the systemic review of delirium screening. "Patients sent home from the ED with undetected delirium have six-month mortality rates almost three times greater than their counterparts in whom delirium is detected. Unrecognized delirium presents a major health challenge to older adults and an increased burden on the health care system.

"Patients with delirium will have hospital stays that are more than twice as long -- 21 versus nine days," said Dr. LaMantia, who is also an IU Center for Aging Research scientist and assistant professor of medicine at IU School of Medicine. "They will also have a greater probability of being discharged from the hospital to a long-term-care facility and a much higher probability of developing dementia than individuals who do not experience delirium."

Delirium is a state of confusion that can develop suddenly and usually goes away in days to weeks if treated properly, according to the American Delirium Society. The society estimates that more than 7 million hospitalized Americans experience delirium annually.

Dr. LaMantia, who is a geriatrician, said further work is needed to develop and validate emergency department-specific screening instruments and to determine how often to administer screenings in the rapid-paced environment. He also encourages those accompanying an older adult to the emergency department to serve as patient advocates by passing along baseline mental status information.

"The ED doctor is unaware of what the person looks like in daily life," he said. "They aren't seeing a complete set of colors. A family member or friend can help fill in the colors and gradations of colors. Nothing can replace having someone who knows the patient telling you that person's baseline."


Contact: Cindy Fox Aisen
Indiana University

Related medicine news :

1. RSNA and Regenstrief Institute launch effort to unify radiology procedure naming
2. CHICA, automated system developed by Regenstrief and IU, improves autism screening rate
3. Regenstrief and IU study: Older adults with severe mental illness challenge healthcare system
4. IU, Regenstrief initiative aims to decrease hospitalization of nursing home residents
5. Regenstrief and IU study investigates older adults views on cancer screening
6. Regenstrief study: Informatics tools underutilized in prevention of hospital-acquired infection
7. Regenstrief investigator inducted into medical informatics honor society
8. Regenstrief study finds that generic drugs often have incorrect safety labeling
9. Merck and Regenstrief Institute establish evidence-based care collaboration
10. Regenstrief and IHTSDO start collaborative efforts
11. IU, Regenstrief automated system aims to improve child health
Post Your Comments:
Related Image:
Regenstrief and IU review finds lack of delirium screening in the emergency department
(Date:12/1/2015)... ... ... Lutronic, a leading innovator of aesthetic and medical laser and energy-based technology, ... in the United States. Clarity is a Superior Dual Wavelength Platform which combines ... single platform that is easy to own and operate. , For over a ...
(Date:12/1/2015)... ... December 01, 2015 , ... PartnerTech ... through membership and leadership since 2008. Gary Bruce, President of PartnerTech North America, ... has spent a significant amount of time in Sweden since joining PartnerTech based ...
(Date:12/1/2015)... ... 01, 2015 , ... SonaCare Medical congratulates the University College ... Award on November 18th. This prestigious award recognizes annually organizations that cultivate truly ... the medical landscape. , The UCLH team won the award for their innovative ...
(Date:11/30/2015)... ... ... Trevor and Taylor Crabb have unveiled an exciting new campaign to ... United States. This hybrid crowdfunding campaign is designed to provide the Crabb ... to offering corporate sponsors with some great marketing deliverables with the brothers for the ...
(Date:11/30/2015)... ... December 01, 2015 , ... ... as a 2015-2016 inductee into its VIP Woman of the Year Circle. ... the nation’s leading networking organization exclusively for professional women, boasting 850,000 members and ...
Breaking Medicine News(10 mins):
(Date:12/1/2015)... Russia has always been a country of ... registered in Europe in 2015 were tested in ... Russia has always been a country of choice for global ... Europe in 2015 were tested in phase II-III ... has always been a country of choice for global multi-center phase ...
(Date:12/1/2015)... Dec. 01, 2015 ... "Veterinary Equipment and Disposables Market by product, ... report to their offering. --> ... "Veterinary Equipment and Disposables Market by product, by ... to their offering. --> Research and ...
(Date:12/1/2015)... 1, 2015 Contraceptives ... Contraceptives, Male Condoms, Female Condoms, Intrauterine Devices, ... Diaphragms, Contraceptive Sponges, Non-Surgical Permanent Contraception Devices) ... Trends and Forecast 2014 - 2020 ", ... (TMR).The report states that the global contraceptives ...
Breaking Medicine Technology: