SGEM#507: Till Everybody Got Delirious – Geriatric Patients in the Emergency Department

Ensaios extraídos do podcast de Dr. Ken Milne

• 2026GED Guidelines 2.0Emergency & ResuscitationIn older ED patients with suspected delirium, risk scores, screening tools and head CT were weighed against unstructured evaluation for graded recommendations
• 2009Delirium in Older Emergency Department PatientsEmergency & ResuscitationIn 303 ED patients aged 65 and older, dementia, functional dependence and hearing impairment predicted delirium on arrival compared with patients without them.
• 2021Development and validation of a delirium risk assessment tool in older patients admitted to the Emergency Department Observation UnitEmergency & ResuscitationIn364 patients aged 65 or older in emergency department observation units,a four-item risk scorepredicteddelirium on the 4AT.
• 2022REDEEMEmergency & ResuscitationIn 967 emergency department visits by patients aged 75 and older, the 10-variable REDEEM risk score predicted delirium against the DTS-bCAM two-step screen
• 20144ATPsychiatry & BehaviouralIn 234 hospitalised older adults, the 4AT detected delirium with 90% sensitivity and 84% specificity compared with a blinded DSM-IV-TR reference diagnosis.
• 2013DTS/bCAMEmergency & ResuscitationIn 406 ED patients aged 65 or older, the two-step Delirium Triage Screen plus bCAM was compared with a psychiatrist DSM-IV-TR assessment for detecting delirium