Tian-Hoe Tan1,2, Ting-Ya Yang3, Yao-Mei Chen3, Shiu-Yuan Chung3, Hsiao-Hua Liu4, Pei-Chi Yang1, Pei-Hsin Kao5, An-Chi Peng3, Yi-Min Shu3, Yu-Sheng Chu6, Kang-Ting Tsai2,4,7, Chien-Chin Hsu1, Chung-Han Ho8,9, Hung-Jung Lin1,10, Chien-Cheng Huang11,12,13. 1. Department of Emergency Medicine, Chi Mei Medical Center, 901 Zhonghua Road, Yongkang District, Tainan City, 710, Taiwan. 2. Department of Senior Services, Southern Taiwan University of Science and Technology, Tainan, Taiwan. 3. Department of Nursing, Chi Mei Medical Center, Tainan, Taiwan. 4. Center for Integrative Medicine, Chi Mei Medical Center, Tainan, Taiwan. 5. Department of Psychiatry, Chi Mei Medical Center, Tainan, Taiwan. 6. Department of Pharmacy, Chi Mei Medical Center, Tainan, Taiwan. 7. Division of Geriatrics and Gerontology, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan. 8. Department of Medical Research, Chi Mei Medical Center, Tainan, Taiwan. 9. Department of Information Management, Southern Taiwan University of Science and Technology, Tainan, Taiwan. 10. Department of Emergency Medicine, Taipei Medical University, Taipei, Taiwan. 11. Department of Emergency Medicine, Chi Mei Medical Center, 901 Zhonghua Road, Yongkang District, Tainan City, 710, Taiwan. chienchenghuang@yahoo.com.tw. 12. Department of Emergency Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. chienchenghuang@yahoo.com.tw. 13. Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan. chienchenghuang@yahoo.com.tw.
Abstract
AIMS: A computerized tool and interdisciplinary care were implemented to develop a novel model for older patients with delirium in the emergency department (ED). METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
AIMS: A computerized tool and interdisciplinary care were implemented to develop a novel model for older patients with delirium in the emergency department (ED). METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.