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The Resource Screening for Delirium in the Emergency Department, Melissa B. Minks

Screening for Delirium in the Emergency Department, Melissa B. Minks

Creator
Summary
  • Delirium is a problem for many older adults who are acutely ill. Delirium often comes on suddenly, can be severe, and is often difficult to diagnose, especially in the presence of dementia. Missed delirium has a mortality rate of 30.8% and costs millions. What is the purpose of this study?
  • Methods The 4A's Test screening instrument was implemented and evaluated in the Emergency Department of a rural Midwestern hospital from May 1, 2019 through August 31, 2019
  • Results There were 122 participants in the study with 61 in each cohort. In 2018, three (5%) were diagnosed with delirium without a screening instrument. In 2019, 10 (6.1%) screened positive and were diagnosed with delirium. A Fisher's exact test compared the 2018 and 2019 cohorts. The relationship between screening with or without a screening tool was statistically significant at the .05 level (p = 0.3227). A Fischer's Exact Test was also performed on patients with and without previously diagnosed dementia. Twenty-two (36%) subjects had dementia and eight (13%) were positive with 39 (64%) subjects without dementia and seven (11.8%) screening positive. The relationship with and without a previous diagnosis of dementia was statistically significant at the 0.5 level (p= 0.2495)
  • Implications for Practice The study found an 11.5% increase in recognition of delirium in the ED in general psychiatric presenting patients and an 18.5% increase in recognition of delirium in the ED in psychiatric presenting patients with a previous diagnosis of dementia
Language
eng
Work
Publication
Extent
1 online resource (22 pages)
Note
Title from title page of PDF (University of Missouri--St. Louis, viewed October 27, 2020)
Instance
Label
Screening for Delirium in the Emergency Department
Title
Screening for Delirium in the Emergency Department
Statement of responsibility
Melissa B. Minks
Creator
Subject
Genre
Language
eng
Summary
  • Delirium is a problem for many older adults who are acutely ill. Delirium often comes on suddenly, can be severe, and is often difficult to diagnose, especially in the presence of dementia. Missed delirium has a mortality rate of 30.8% and costs millions. What is the purpose of this study?
  • Methods The 4A's Test screening instrument was implemented and evaluated in the Emergency Department of a rural Midwestern hospital from May 1, 2019 through August 31, 2019
  • Results There were 122 participants in the study with 61 in each cohort. In 2018, three (5%) were diagnosed with delirium without a screening instrument. In 2019, 10 (6.1%) screened positive and were diagnosed with delirium. A Fisher's exact test compared the 2018 and 2019 cohorts. The relationship between screening with or without a screening tool was statistically significant at the .05 level (p = 0.3227). A Fischer's Exact Test was also performed on patients with and without previously diagnosed dementia. Twenty-two (36%) subjects had dementia and eight (13%) were positive with 39 (64%) subjects without dementia and seven (11.8%) screening positive. The relationship with and without a previous diagnosis of dementia was statistically significant at the 0.5 level (p= 0.2495)
  • Implications for Practice The study found an 11.5% increase in recognition of delirium in the ED in general psychiatric presenting patients and an 18.5% increase in recognition of delirium in the ED in psychiatric presenting patients with a previous diagnosis of dementia
Member of
Cataloging source
UMS
http://library.link/vocab/creatorName
Minks, Melissa B
Degree
DNP
Dissertation year
2020
Granting institution
University of Missouri--St. Louis
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
  • theses
http://library.link/vocab/subjectName
  • Delirium
  • Delirium
  • Delirium
  • Hospitals
Label
Screening for Delirium in the Emergency Department, Melissa B. Minks
Instantiates
Publication
Copyright
Note
Title from title page of PDF (University of Missouri--St. Louis, viewed October 27, 2020)
Bibliography note
Includes bibliographical references (pages 18-20)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
1201697924
Extent
1 online resource (22 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Specific material designation
remote
System control number
(OCoLC)1201697924
Label
Screening for Delirium in the Emergency Department, Melissa B. Minks
Publication
Copyright
Note
Title from title page of PDF (University of Missouri--St. Louis, viewed October 27, 2020)
Bibliography note
Includes bibliographical references (pages 18-20)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
1201697924
Extent
1 online resource (22 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Specific material designation
remote
System control number
(OCoLC)1201697924

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Genre

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