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

NCT ID: NCT04846322

Last Updated: 2024-03-07

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-03-01

Study Completion Date

2022-08-15

Brief Summary

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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

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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

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Cognitive Impairment Emergency Care Dementia Delirium

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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ED delirium & dementia screening & outpatient referral

Routine ED screening for delirium and memory problems with referral for outpatient assessment of cognitive impairment.

PD4ED 3-step intervention (ED assessment, outpatient assessment, Brain health plan)

Intervention Type DIAGNOSTIC_TEST

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.

Interventions

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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.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Adults age 65 or older
* Discharged from the adult ED at YNHH or the ED at NMH

Exclusion Criteria

* Documented or known history of dementia
* Alcohol/substance intoxication while in the ED
* Non-English or Non-Spanish speaking
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Aging (NIA)

NIH

Sponsor Role collaborator

Yale University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ula Hwang, MD

Role: PRINCIPAL_INVESTIGATOR

Yale University

Locations

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Yale New Haven Hospital

New Haven, Connecticut, United States

Site Status

Northwestern

Chicago, Illinois, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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U54AG063546

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2000029490

Identifier Type: -

Identifier Source: org_study_id

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