Delirium screening with 4AT in patients aged 65 years and older admitted to the Emergency Department with suspected sepsis: a prospective cohort study

• DOI: 10.1007/s41999-021-00558-5
• Publication Date: 2021-10-10T03:28:52Z
• Authors: Marius Myrstad; Kanika Kuwelker; Sigurd Haakonsen; Therese Valebjørg; Nina Langeland; Bård Reiakvam Kit...; Guri Hagberg; Bjørn Erik Neerland; Marit Stordal Bakken
• Keywords: Aged, 80 and over; Male; 610; Delirium; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Sepsis; 616; Humans; Female; Prospective Studies; Emergency Service, Hospital; Research Paper; Aged; Retrospective Studies

Abstract Purpose We aimed to study the use of The 4 ‘A’s test (4AT), a rapid delirium screening tool, performed upon Emergency Department (ED) admission, and characterize older patients admitted ED with without sepsis in terms features. Methods In this prospective cohort study, we included aged ≥ 65 years, suspected sepsis. nurses doctors 4AT within two hours after registered time spent on each case. Sepsis during hospital stay were diagnosed retrospectively, according recommended diagnosis criteria. Results Out 196 (mean age 81 60% men), 100 fulfilled mean was 2.5 Minutes. total, 114 (58%) had score 1, indicating cognitive impairment, admission. more often 4, delirium, than (40% vs. 26%, p < 0.05). sepsis, 68 (68%) stay, as compared 34 out 96 (35%) ( Conclusion Delirium using 4AT, feasible among years Two three at least one feature prevalence high, particularly Graphic abstract