Feasibility of the Modified Confusion Assessment Method for the Emergency Department (mCAM-ED)

Delirium Clinical Trial

Official title:

Pilot Study on the Feasibility of the Modified Confusion Assessment Method for the Emergency Department (mCAM-ED)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02054169
• Other study ID #: mCAM-ED
• Status: Completed
• Phase: N/A
• First received: January 31, 2014
• Last updated: February 3, 2014
• Start date: August 2013

Study information

• Verified date: February 2014
• Source: University Hospital, Basel, Switzerland
• Contact: n/a
• Is FDA regulated: No
• Health authority: Switzerland: Ethikkommission
• Study type: Observational

Clinical Trial Summary

Delirium is common in older emergency department (ED) patients and often remains unrecognized. Existing instruments to detect delirium are often time consuming and therefore not feasible in the busy ED setting In this study the investigators tested the feasibility of the newly developed modified confusion assessment method (mCAM-ED).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 340
• Est. primary completion date: August 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• patients aged 65 or older

Exclusion Criteria:

• patients treated in the resuscitation room

• patients transferred or discharged within 2 hours of arrival

• patients with insufficient proficiency in the German language

• patients with an inability to communicate (e.g. aphasic patients)

Study Design

Time Perspective: Cross-Sectional

Related Conditions & MeSH terms

• Delirium

Locations

Country	Name	City	State
Switzerland	University Hospital Basel	Basel

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Basel, Switzerland

Country where clinical trial is conducted

Switzerland, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	delirium	Delirium was assessed by research assistants using the mCAM-ED. Patients with a positive delirium diagnosis were presented to a senior emergency physician (PI) who served as the reference standard. The final delirium diagnosis was based on the DSM IV criteria	two hours after ED admission	No
Secondary	adherence of ED staff to mCAM-ED algorithm	Adherence was achieved when the mCAM-ED result was documented by the ED nurses.	At patient discharge or transfer from ED (average 4 hours after presentation)	No