Delirium detection in the emergency department: A diagnostic accuracy meta-analysis of history, physical examination, laboratory tests, and screening instruments. Carpenter CR, Lee S, Kennedy M, Arendts G, Schnitker L, Eagles D, Mooijaart S, Fowler S, Doering M, LaMantia MA, Han JH, Liu SW. Acad Emerg Med. 2024 May 16. doi: 10.1111/acem.14935. Epub ahead of print. PMID: 38757369.
The 4 'A's Test (4AT) is reasonably accurate in ruling out delirium in adults 65 and older, POEM, 23 juillet 2021
Two bedside tests are fairly accurate in screening for delirium in older patients, POEM, 3 décembre 2018
The Diagnosis of Delirium Superimposed on Dementia: An Emerging Challenge, J Am Med Dir Assoc. 2017 Jan; 18(1): 12–18. Published online 2016 Sep 16. doi: [10.1016/j.jamda.2016.07.014]
Serial Administration of a Modified Richmond Agitation and Sedation Scale for Delirium Screening, J Hosp Med. 2012 May-Jun; 7(5): 450–453. Published online 2011 Dec 15. doi: [10.1002/jhm.1003]
Modified RASS Scale N.B. Un changement dans l'état de base de la démence est un indice d'un délirium.
CAM score
CAM, version française
Mini-Cog
Six item screener - SIS: Échelle ; Article
Incidence of delirium in the Canadian emergency department and its consequences on hospital length of stay: a prospective observational multicentre cohort study, Émond M, Boucher V, Carmichael P, et al, BMJ Open 2018;8:e018190. doi: 10.1136/bmjopen-2017-018190
Antipsychotics for Preventing Delirium in Hospitalized Adults: A Systematic Review. Oh ES, Needham DM, Nikooie R, Wilson LM, Zhang A, Robinson KA, Neufeld KJ. Ann Intern Med. 2019 Sep 3. doi: 10.7326/M19-1859. [Epub ahead of print]
Conclusion: Current evidence does not support routine use of haloperidol or second-generation antipsychotics for prevention of delirium. There is limited evidence that second-generation antipsychotics may lower the incidence of delirium in postoperative patients, but more research is needed. Future trials should use standardized outcome measures.