{{htmlmetatags>
  metatag-keywords=(Syndromes Geriatriques, Confusion, Etiologies, Outil clinique)

  metatag-og:title=(Development and validation of an aetiology in delirium diagnostic support tool. Eeles E, et al, Age Ageing 2020.)

  metatag-description=(Development and validation of an aetiology in delirium diagnostic support tool. Eeles E, et al, Age Ageing 2020.)

  metatag-og:type=article
  metatag-article:published_time=2021-03-07
  metatag-article:modified_time=2021-03-07

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{{pmid>addtt:33301574|Development and validation of an aetiology in delirium diagnostic support tool.}}
{{pmid>addhash_fr:33301574|Syndromes_Geriatriques, Etiologies, Outil_clinique}}

====== Development and validation of an aetiology in delirium diagnostic support tool. Eeles E, et al, Age Ageing 2020. ======

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{{tag>Syndromes_Geriatriques Confusion   }}
{{tag>Etiologies, Outil_clinique}}
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  * **Proposé le :** 07/03/2021 07:55:37
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{{tag>Proposé_à_relecture 2021-03 Non_attribué Non_finalisé}}
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===== Résumé et points clés =====



**Background:** recognition of the multifactorial causes of delirium represents a clinical challenge.

**Objectives:** to develop and show proof of principle of a diagnostic support tool (DST) for identification of causes of delirium.

**Methods:** stage 1-development of the aetiology in delirium-diagnostic support tool (AiD-DST); stage 2-validation of the AiD-DST against reference standard diagnosis, based on clinical assessment from two independent consultant geriatricians.

**Results:** a series of eight steps AiD-DST were formulated by an expert group to identify possible causes of delirium. Forty inpatients admitted to a general medical unit with a consultant physician/geriatrician diagnosis of delirium were recruited, consented and reviewed against the AiD-DST. Mean age was 85.1 (standard deviation 7.9) years and 26 (65%) of participants were female. Participants had multiple chronic co-morbidities [median Charlson Comorbidity Index 7; interquartile range (IQR 6-9)] and median number of medications was 8 (IQR 6-11.75). Median number of causes of delirium detected on AiD-DST was 3 (IQR 3-4) versus 5 (IQR 3-6) using the reference standard diagnosis, with sensitivity of 88.8% (95% confidence interval, 81.6-93.9%) and specificity of 71.8% (63-79.5%).

**Conclusions:** the aetiology in delirium DST shows promise in the identification of cause(s) in delirium.

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===== Références =====

~~REFNOTES~~

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