Presentation on theme: "Assessing delirium in acute geriatric wards Leiv Otto Watne Oslo University Hospital, Norway."— Presentation transcript:
Assessing delirium in acute geriatric wards Leiv Otto Watne Oslo University Hospital, Norway
Delirium - An acute change in cognition and attention -Common condition: - At admission (medical patients): % - Occurance rate per admission (medical patients) %. - Hip fracture patients: % - ICU patients: % Siddiqi N, House AO, Holmes JD. Age Ageing Jul;35(4): Bruce AJ, Int Psychogeriatr Apr;19(2): Epub 2006 Sep 14. Jones, SF. Curr Opin Crit Care Apr;18(2):
-Cork University Hospital, Irland: 407 acute adult inpatients beds -15th of May 2010 were all patients assessed for delirium -19,6 % had delirium Only 43,6% had delirium or one of its synonyms documented in the case notes!! Ryan DJ, BMJ Open Jan 7;3
- Aim: ”to systematically review the evidence on the accuracy of bedside intstruments in diagnosing the presence of delirium” - Compared screening instruments to a ”golden standard” - Recommend: CAM, DRS-R98, MDAS Wong CL, JAMA Aug 18;304(7)
From the original paper: - Can be completed in less than 5 minutes -Sensitivity % -Specificity % Inouye S, Ann Intern Med Dec 15;113(12):941-8.
Assessing delirium in acute geriatric wards How to do it?!!
Delirium assessments For research: CAM, MDAS and/or DRS-R98 For clinical work: ?