Validation of the Brief Confusion Assessment Method for screening delirium in elderly medical patients in a German Emergency Department
Academic Emergency Medicine Jun 17, 2018
Baten V, et al. - Researchers performed the first study evaluating the brief Confusion Assessment Method (bCAM) for a German Emergency Department (ED) and when performed by emergency physicians (EPs) during routine work. The bCAM was implemented into practice in a German interdisciplinary high-volume ED and was evaluated, in a convenience sample of medical patients aged ≥ 70 years, for its validity. Good specificity, but only moderate sensitivity was demonstrated by the bCAM. Nevertheless, the delirium detection rate is most likely improved with the application of the bCAM in German EDs. However, they recommend its application by trained physicians to maximize diagnostic accuracy and hence improve the bCAM's sensitivity.
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