A cohort study on detecting delirium using 4 ‘A’s Test in a London, UK, hospital
File(s)JNHS-2-29_accepted.pdf (257.42 KB)
Published version
Author(s)
Casarin, A
Sharma, P
Bhat, S
Vizcaychipi, M
Type
Journal Article
Abstract
Delirium is a common neuropsychiatric disorder in hospitalised
older adults. Often unrecognized, delirium is associated with increased
morbidity and mortality, length of hospital stay, institutionalisation and
costs to healthcare providers. The objective of this prospective cohort
study was to detect the prevalence of delirium in a London (UK) hospital
testing the feasibility and reliability of the 4 A's Test (4AT). Over a seven day period 174 inpatients were assessed by non-psychiatrically trained doctors using the 4AT and three widely adopted screening tools. The 4AT helped detect 21 (10.2%) delirious patients uncovering a delirium prevalence of 8.63 per 1000 hospital days. The 4AT showed a compatibility of 75% with other tools used. Changes in consciousness are often missed, but can be easily detected introducing a screening tool as the 4AT.
older adults. Often unrecognized, delirium is associated with increased
morbidity and mortality, length of hospital stay, institutionalisation and
costs to healthcare providers. The objective of this prospective cohort
study was to detect the prevalence of delirium in a London (UK) hospital
testing the feasibility and reliability of the 4 A's Test (4AT). Over a seven day period 174 inpatients were assessed by non-psychiatrically trained doctors using the 4AT and three widely adopted screening tools. The 4AT helped detect 21 (10.2%) delirious patients uncovering a delirium prevalence of 8.63 per 1000 hospital days. The 4AT showed a compatibility of 75% with other tools used. Changes in consciousness are often missed, but can be easily detected introducing a screening tool as the 4AT.
Date Issued
2016-02-14
Date Acceptance
2016-02-07
Citation
Research & Reviews: Journal of Nursing and Health Sciences, 2016, 2 (1), pp.29-34
Publisher
Research and Reviews
Start Page
29
End Page
34
Journal / Book Title
Research & Reviews: Journal of Nursing and Health Sciences
Volume
2
Issue
1
Copyright Statement
All Published work is licensed under a Creative Commons Attribution 4.0 International License
Publication Status
Published