The Confusion Assessment Method in action: Implementation of a protocol to increase delirium screening and diagnosis
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Citações na Scopus
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Tipo de produção
article
Data de publicação
2023
Título da Revista
ISSN da Revista
Título do Volume
Editora
MOSBY-ELSEVIER
Autores
JR, Jose Adenaldo Santos Bittencourt
MIGUEL, Cesar Gomes
ROZZINO, Tatianna Pinheiro da Costa
VACCARI, Andreia Maria Heins
BARBOSA, Michelle Simone
SZLEJF, Claudia
Citação
GERIATRIC NURSING, v.54, p.32-36, 2023
Resumo
The use of the Confusion Assessment Method (CAM) for delirium assessment in real-life can be inconsistent. We examined the impact of a protocol on delirium screening and detection in hospitalized older adults using the CAM. We analyzed data from 32,338 admissions to a quaternary hospital between 2018 and 2022. We assessed the percentage of admissions screened for delirium, adherence to daily screening, positive screening, and overlap with ICD-10 coding. The percentage of admissions screened for delirium increased from 74% in 2018 to 98.7% in 2022. Adherence to daily screening was achieved in 24.5% of admissions, and the percentage of positive screenings fluctuated between 8.4% and 11.5%. Among the admissions with a delirium-related ICD-10 code, 32% had a positive screening, 62% were negative, and 6% remained unscreened. While implementing a protocol increased the proportion of admissions screened for delirium, adherence to daily screening and consistency of positive delirium screenings remain areas for improvement.(c) 2023 Elsevier Inc. All rights reserved.
Palavras-chave
Delirium, Delirium protocol, Hospital care, Real world data
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