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Geriatric nursing v.38 no.6, 2017년, pp.567 - 572   SCIE SSCI
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Predicting inpatient delirium: The AWOL delirium risk-stratification score in clinical practice

Brown, Ethan G. (Department of Neurology, University of California, San Francisco, USA ) ; Josephson, S. Andrew (Department of Neurology, University of California, San Francisco, USA ) ; Anderson, Noriko (Department of Neurology, University of California, Irvine, USA ) ; Reid, Mary (Department of Neurology, University of California, San Francisco, USA ) ; Lee, Melissa (Department of Neurology, University of California, San Francisco, USA ) ; Douglas, Vanja C. (Department of Neurology, University of California, San Francisco, USA ) ;
  • 초록  

    Abstract Inpatient delirium improves with multicomponent interventions by hospital staff, though the resources needed are often limited. Risk-stratification to predict delirium is a useful first step to help triage resources, but the performance of risk-stratification as part of a functioning multicomponent pathway has not been assessed. We retrospectively studied the performance of a validated delirium prediction rule, the AWOL score, as a part of a multicomponent delirium care pathway in practice on a university hospital ward. We reviewed the hospitalizations of patients 50 years or older for evidence of delirium and extracted the AWOL score from nursing documentation ( n = 347). The area under the receiver operating characteristic curve (AUC) was 0.83 (95% CI 0.77–0.89) for all cases and 0.73 (95% CI 0.60–0.85) when cases of prevalent delirium were removed. Involving minimal additional assessment, this nursing-based risk stratification score performed well as part of a multicomponent delirium care pathway. Highlights Risk-stratification for predicting inpatient delirium is evaluated The nursing-based “AWOL” score involves minimal additional assessment time Brief assessment of cognition and illness are essential components of the score The score performed well in predicting prevalent and incident delirium Risk-stratification is a useful addition to a multicomponent delirium care pathway


  • 주제어

    Delirium .   Hospitalization .   Clinical prediction rule.  

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