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Diagnosing Delirium Superimposed on ...

Fogarty, Brittany.

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Diagnosing Delirium Superimposed on Dementia in Elderly Emergency Department Patients.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Diagnosing Delirium Superimposed on Dementia in Elderly Emergency Department Patients./
作者:	Fogarty, Brittany.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2019,
面頁冊數:	63 p.
附註:	Source: Masters Abstracts International, Volume: 81-05.
Contained By:	Masters Abstracts International81-05.
標題:	Medicine. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=22617114
ISBN:	9781687953674

Diagnosing Delirium Superimposed on Dementia in Elderly Emergency Department Patients.
Fogarty, Brittany.

Diagnosing Delirium Superimposed on Dementia in Elderly Emergency Department Patients. - Ann Arbor : ProQuest Dissertations & Theses, 2019 - 63 p.

Source: Masters Abstracts International, Volume: 81-05.

Thesis (M.S.)--Boston University, 2019.

This item must not be sold to any third party vendors.

Delirium and delirium superimposed on dementia (DSD) have a high prevalence in elderly populations presenting to the emergency department (ED). Despite their prevalence, diagnosis remains a problem and has led to increased healthcare costs and adverse health outcomes. Various tools and diagnostic screening tests exist to aid clinicians in their diagnosis but the need for a simple, sensitive and specific tool that can be used in a busy ED setting still exists. The objective of this study is to further validate two cognitive screening assessments, the 6-Item Cognitive Impairment Test (6-CIT) and Vigilance A Test, for their use in the ED as a screening test for delirium and DSD. The study will be a prospective cohort study performed at a tertiary academic medical center with elderly patients greater than 65 years old. The diagnostic accuracy of the 6-CIT and Vigilance A tests administered by emergency medicine attending physicians will be compared to a reference standard expert assessment performed by a psychiatrist. Patients will be assessed within 3 hours of presenting to the ED. Sensitivity, specificity, positive and negative predictive values with 95% confidence intervals will be calculated. The goal of the study is to determine whether the 6-CIT and Vigilance A tests can accurately exclude delirium and dementia in elderly ED patients, which would have future implications for their use as a time-efficient screening tool in these populations.

ISBN: 9781687953674Subjects--Topical Terms:

641104
Medicine.
Subjects--Index Terms:

Delirium

Diagnosing Delirium Superimposed on Dementia in Elderly Emergency Department Patients.
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