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

Yale University

Status: Completed

Conditions: Emergency Care; Delirium; Cognitive Impairment; Dementia

Treatments: Diagnostic Test: PD4ED 3-step intervention (ED assessment, outpatient assessment, Brain health plan)

Study type: Observational

Funder types: Other; NIH

Identifiers

NCT04846322

U54AG063546 (U.S. NIH Grant/Contract)

2000029490

Details and patient eligibility

About

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.

Full 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.

Enrollment: 100 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

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

Trial design

100 participants in 1 patient group

ED delirium & dementia screening & outpatient referral

Description:

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

Treatment:

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