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CJEM. 2018 Nov;20(6):903-910. doi: 10.1017/cem.2018.367. Epub 2018 May 17.

Performance of the French version of the 4AT for screening the elderly for delirium in the emergency department.

Author information

1
*Axe Santé des populations et pratiques optimales en santé,CHU de Québec,Hôpital de l'Enfant-Jésus,Québec,QC.
2
‡Centre d'excellence sur le vieillissement de Québec,Québec,QC.
3
†Université Laval,Québec,QC.
4
¶Centre Hospitalier Régional de Trois-Rivières,Trois-Rivières, QC.
5
**Centre de recherche de l'Hôpital du Sacré-Cœur de Montréal,Montréal,QC.
6
‡‡Department of Family Medicine,McGill University, Montreal, QC.
7
***CIUSSS de la Capitale-Nationale, Québec, QC.
8
ǁǁDonald Berman Maimonides Centre for Research in Aging, Montreal, QC.

Abstract

CLINICIAN'S CAPSULE What is known about the topic? Delirium is frequent in older inpatients but often goes undetected. A short tool, the 4 A's Test (4AT), was created and validated for the detection of delirium. What did this study ask? This study compared the performance of the French version of the 4AT (4AT-F) with the Confusion Assessment Method (CAM) for the screening of delirium. What did this study find? The 4AT-F was a fast and reliable screening tool for delirium in the emergency department (ED). Why does this study matter to clinicians? Because of its quick administration time, it allows for systematic screening of patients at risk of delirium and cognitive impairment.

PMID:
29769154
DOI:
10.1017/cem.2018.367

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