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Titre : | Predicting inpatient delirium: The AWOL delirium risk-stratification score in clinical practice (2017) |
Auteurs : | Ethan Brown ; Andrew S. Josephson ; Noriko Anderson ; et al. |
Type de document : | Article |
Dans : | Geriatric Nursing (Vol. 38, n°6, November/December 2017) |
Article en page(s) : | p. 567-572 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Delirium tremens ; Hospitalisation ; Pratique professionnelleAutres descripteurs Score |
Mots-clés: | Score de satisfaction ; Types de pratiques des médecins |
Résumé : | Inpatient delirium improves with multicomponent interventions by hospital staff, though the resources needed are often limited. Risk-stratification to predict delirium is a useful first step to help triage resources, but the performance of risk-stratification as part of a functioning multicomponent pathway has not been assessed. We retrospectively studied the performance of a validated delirium prediction rule, the AWOL score, as a part of a multicomponent delirium care pathway in practice on a university hospital ward. We reviewed the hospitalizations of patients 50 years or older for evidence of delirium and extracted the AWOL score from nursing documentation (n = 347). The area under the receiver operating characteristic curve (AUC) was 0.83 (95% CI 0.770.89) for all cases and 0.73 (95% CI 0.600.85) when cases of prevalent delirium were removed. Involving minimal additional assessment, this nursing-based risk stratification score performed well as part of a multicomponent delirium care pathway. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |