Computerized tool and interdisciplinary care for older patients with delirium in the emergency department: a novel model in Taiwan

Autor: Tian-Hoe Tan, Ting-Ya Yang, Yao-Mei Chen, Shiu-Yuan Chung, Hsiao-Hua Liu, Pei-Chi Yang, Pei-Hsin Kao, An-Chi Peng, Yi-Min Shu, Yu-Sheng Chu, Kang-Ting Tsai, Chien-Chin Hsu, Chung-Han Ho, Hung-Jung Lin, Chien-Cheng Huang
Rok vydání: 2022
Předmět:
Zdroj: Aging Clinical and Experimental Research. 34:3137-3144
ISSN: 1720-8319
DOI: 10.1007/s40520-022-02240-7
Popis: A computerized tool and interdisciplinary care were implemented to develop a novel model for older patients with delirium in the emergency department (ED).We developed a computerized tool using a delirium triage screen and brief confusion assessment in the hospital information system, performed education for the healthcare providers, and developed a continuous care protocol. Comparisons for outcomes between pre- and post-intervention periods were performed.Compared with the pre-intervention period, patients in the post-intervention period had shorter hospitalization stay, lower expenditure of hospitalization, more likely to return home, lower ED revisits of ≤ 3 days, re-hospitalization of ≤ 14 days, and mortality of ≤ 1 month. All mentioned differences were not statistically significant.A novel model was successfully developed for delirium management in older patients in the ED. Outcome differences were not significant; however, the result is promising, which gives us an important reference in the future.
Databáze: OpenAIRE
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