NCT04846322

Pathway to Detection & Differentiation of Delirium & Dementia in the Emergency Department

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 100 (actual)
• Sponsor: Yale University · Academic / Other
• Sex: All
• Age: 65 Years
• Healthy volunteers: Not accepted

Summary

This is an observational study of the pragmatic implementation of an ED screening, outpatient referral, and care coordination process for older ED patients who may have UCID.

Detailed description

Embedded pragmatic, implementation pilot that incorporates training, ED assessment for delirium and dementia risk, referral of ED patients with undiagnosed cognitive impairment and dementia for primary care feedback and care recommendations. This pilot would gather observational data evaluating the feasibility of incorporating cognitive impairment screens into routine ED delirium assessments, and developing optimal work flow for identifying and referring ED patients with suspected (undiagnosed) dementia for confirmatory evaluation and care coordination.

Conditions

• Cognitive Impairment
• Emergency Care
• Dementia
• Delirium

Interventions

Type	Name	Description
DIAGNOSTIC_TEST	PD4ED 3-step intervention (ED assessment, outpatient assessment, Brain health plan)	1. ED assessment for suspected dementia. 2. positive ED patients referred for outpatient clinic cognitive impairment assessment. 3. positive clinic patients referred to primary care with brain health patient plan.

Timeline

• Start date: 2021-03-01
• Primary completion: 2022-08-15
• Completion: 2022-08-15
• First posted: 2021-04-15
• Last updated: 2024-03-07
• Results posted: 2023-10-23

Locations

2 sites across 1 country: United States