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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02054169
Recruitment Status : Completed
First Posted : February 4, 2014
Last Update Posted : February 4, 2014
Sponsor:
Information provided by (Responsible Party):
Christian Nickel, University Hospital, Basel, Switzerland

Brief 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).

Condition or disease
Delirium

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Study Type : Observational
Actual Enrollment : 340 participants
Time Perspective: Cross-Sectional
Official Title: Pilot Study on the Feasibility of the Modified Confusion Assessment Method for the Emergency Department (mCAM-ED)
Study Start Date : August 2013
Actual Primary Completion Date : August 2013

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Delirium

Group/Cohort
pre-test group
All patients aged 65 or older presenting to the ED during the pre-test period
post-test period
All patients aged 65 or older presenting to the ED in the post-test period



Primary Outcome Measures :
  1. delirium [ Time Frame: two hours after ED admission ]
    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


Secondary Outcome Measures :
  1. adherence of ED staff to mCAM-ED algorithm [ Time Frame: At patient discharge or transfer from ED (average 4 hours after presentation) ]
    Adherence was achieved when the mCAM-ED result was documented by the ED nurses.



Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
The samples consisted of consecutive ED patients.
Criteria

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)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02054169


Locations
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Switzerland
University Hospital Basel
Basel, Switzerland, 4031
Sponsors and Collaborators
University Hospital, Basel, Switzerland
Investigators
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Principal Investigator: Christian H Nickel, MD University Hospital, Basel, Switzerland

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Responsible Party: Christian Nickel, MD, University Hospital, Basel, Switzerland
ClinicalTrials.gov Identifier: NCT02054169    
Other Study ID Numbers: mCAM-ED
First Posted: February 4, 2014    Key Record Dates
Last Update Posted: February 4, 2014
Last Verified: February 2014
Additional relevant MeSH terms:
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Delirium
Confusion
Emergencies
Disease Attributes
Pathologic Processes
Neurobehavioral Manifestations
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms
Neurocognitive Disorders
Mental Disorders