Delirium in the Emergency Department: Novel Screening and Natural Course
急诊科的谵妄:新颖的筛选和自然过程
基本信息
- 批准号:8686692
- 负责人:
- 金额:$ 14.9万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2010
- 资助国家:美国
- 起止时间:2010-07-01 至 2015-06-30
- 项目状态:已结题
- 来源:
- 关键词:Accident and Emergency departmentAcuteAddressAdmission activityAdoptedAffectAge FactorsAgingAltered Level of ConsciousnessAmericanAwardBiometryCaringCessation of lifeClinicalClinical effectivenessCognitiveCommitCommunitiesComorbidityConfusionConsultDataDeath RateDeliriumDetectionDiagnosticEarly DiagnosisEarly treatmentElderlyEmergency CareEmergency Department PhysicianEmergency Department patientEmergency MedicineEnrollmentEnvironmentEpidemiologyEtiologyFoundationsFrequenciesFunctional disorderFundingFutureGeriatric NursingGeriatricsGoalsHealthcareHealthcare SystemsHigh PrevalenceHome environmentHospitalizationHospitalsImpaired cognitionInpatientsInstitutesIntensive Care UnitsInterventionInvestigationLearningLettersMedicalMentored Patient-Oriented Research Career Development AwardMentorsMethodsMonitorMortality DeclineNeeds AssessmentNeurosciencesNursesNursing ResearchOrganOutcomePatientsPharmaceutical PreparationsPhysiciansPilot ProjectsPopulationProcessPsychiatristPsychiatryQualifyingQuality of CareQuality of lifeRandom AllocationReference StandardsResearchResearch PersonnelResearch ProposalsSensitivity and SpecificitySeriesServicesSeverity of illnessSocietiesStudy SectionSystemTestingThinkingTimeTrainingTraining ProgramsTriageValidationVisitWorkadverse outcomeaging populationbasecareercareer developmentclinical practiceclinically significantcostdesignfollow-upfunctional declinefunctional statushuman old age (65+)improvedinattentionindexinginsightinstrumentmental statemortalitymultidisciplinarynovelnovel strategiesolder patientprogramsresearch and developmentscreening
项目摘要
DESCRIPTION (provided by applicant): The National Institute of Aging K23 award will allow Dr. Han to develop as an independent investigator in the field of geriatric emergency medicine, and help him establish a research career devoted to the improvement of emergency care in the aging population. He will focus on delirium since it affects 10% of elderly emergency department (ED) patients, especially because this form of organ dysfunction is a major threat to the older patient's quality of life. The candidate's preliminary studies suggest that delirium is missed in 76% of the cases by emergency physicians and is a serious quality of care issue. However, there are significant barriers to improving delirium detection in the ED. First, there are no valid delirium assessments that are feasible to perform in the busy and demanding ED environment. Second, the clinical significance of delirium in the ED remains unknown and must be established in order for the emergency medicine community to accept routine surveillance as a part of standard ED practice. To overcome these obstacles, Dr. Han proposes a series of studies that will 1) develop a novel delirium surveillance for the ED which maximizes efficiency and minimizes ED staff burden, and 2) study how often ED delirium persists into hospitalization and determine how its duration affects 6-month mortality and functional decline. The ED is the gateway of the health care system and cares for over 15 million elderly patients per year. Yet emergency physicians are poorly equipped to take care of this rapidly growing population. Thus, focusing research efforts on the ED is vital to improving the quality of care delivered to the older patient. Such investigations are hampered by the severe shortage of federally funded ED investigators committed to aging research. Dr. Han will participate in a career development training program specifically tailored for his needs. He will take coursework in advanced epidemiology and biostatistics, and neuroscience. He will also spend time with the geriatrics and psychiatric inpatient consult service to learn how to assess the mental status of acutely ill elders. Dr. Han's training will be overseen by a multidisciplinary group of highly skilled and qualified mentors. By leveraging this plan with institutional strengths, he is poised to alter the way emergency physicians detect and treat elderly patients with delirium. Dr. Han's future goal is to develop ED-based delirium interventions based upon the data accrued from this proposal. These interventions will emphasize early diagnosis and treatment of delirium in the ED, and will potentially have a profound impact in the way ED cares for older adults.
描述(由申请人提供):国家老龄化研究所K23奖将允许韩博士发展为老年急救医学领域的独立研究者,并帮助他建立一个致力于改善老年人急救护理的研究生涯。他将集中在谵妄,因为它影响了10%的老年急诊科(艾德)患者,特别是因为这种形式的器官功能障碍是一个主要威胁到老年患者的生活质量。候选人的初步研究表明,谵妄是错过了76%的情况下,由急诊医生,是一个严重的护理质量问题。然而,在ED中改善谵妄检测存在显著障碍。首先,在忙碌和要求苛刻的艾德环境中,没有可行的有效谵妄评估。其次,谵妄在艾德中的临床意义仍然未知,必须建立,以便急诊医学界接受常规监测作为标准艾德实践的一部分。为了克服这些障碍,Han博士提出了一系列研究,将1)开发一种新的艾德谵妄监测方法,最大限度地提高效率并最大限度地减少艾德工作人员的负担,2)研究艾德谵妄持续住院的频率,并确定其持续时间如何影响6个月的死亡率和功能下降。 艾德是卫生保健系统的门户,每年照顾1 500多万老年病人。然而,急诊医生的装备很差,无法照顾这一迅速增长的人口。因此,集中研究工作的艾德是至关重要的,以提高质量的护理提供给老年患者。由于联邦政府资助的致力于老龄化研究的艾德调查人员严重短缺,这类调查受到了阻碍。韩博士将参加专门为他的需求量身定制的职业发展培训计划。他将学习先进的流行病学和生物统计学以及神经科学。他亦会到老人科及精神科的住院病人服务中心,学习如何评估患有严重疾病的长者的精神状况。韩博士的培训将由一个多学科小组的高技能和合格的导师监督。通过利用这一计划与机构的优势,他准备改变急诊医生发现和治疗老年谵妄患者的方式。韩博士未来的目标是根据本提案中积累的数据开发基于ED的谵妄干预措施。这些干预措施将强调艾德谵妄的早期诊断和治疗,并可能对艾德照顾老年人的方式产生深远的影响。
项目成果
期刊论文数量(4)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
The relationship between a chief complaint of "altered mental status" and delirium in older emergency department patients.
- DOI:10.1111/acem.12436
- 发表时间:2014-08
- 期刊:
- 影响因子:0
- 作者:Han JH;Schnelle JF;Ely EW
- 通讯作者:Ely EW
Effect of physical and occupational therapy on delirium duration in older emergency department patients who are hospitalized.
物理和职业疗法对住院老年急诊科患者的ir妄期限的影响。
- DOI:10.1002/emp2.12857
- 发表时间:2023-03
- 期刊:
- 影响因子:2.3
- 作者:
- 通讯作者:
Altered mental status in older patients in the emergency department.
- DOI:10.1016/j.cger.2012.09.005
- 发表时间:2013-02
- 期刊:
- 影响因子:3.3
- 作者:Han JH;Wilber ST
- 通讯作者:Wilber ST
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Jin Ho Han其他文献
Jin Ho Han的其他文献
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{{ truncateString('Jin Ho Han', 18)}}的其他基金
Cognitive Outcomes in the Pragmatic Investigation of Optimal Oxygen Targets (CO-PILOT) Trial
最佳氧气目标(CO-PILOT)试验的务实调查中的认知结果
- 批准号:
9893421 - 财政年份:2020
- 资助金额:
$ 14.9万 - 项目类别:
Early Cognitive Training and Rehabilitation to Prevent Cognitive Decline in Older Hospitalized Adults with Delirium
早期认知训练和康复以防止老年谵妄住院患者认知能力下降
- 批准号:
10355447 - 财政年份:2020
- 资助金额:
$ 14.9万 - 项目类别:
Early Cognitive Training and Rehabilitation to Prevent Cognitive Decline in Older Hospitalized Adults with Delirium
早期认知训练和康复以防止老年谵妄住院患者认知能力下降
- 批准号:
10115569 - 财政年份:2020
- 资助金额:
$ 14.9万 - 项目类别:
Cognitive Outcomes in the Pragmatic Investigation of Optimal Oxygen Targets (CO-PILOT) Trial
最佳氧气目标(CO-PILOT)试验的务实调查中的认知结果
- 批准号:
10077810 - 财政年份:2020
- 资助金额:
$ 14.9万 - 项目类别:
Delirium in the Emergency Department: Novel Screening and Natural Course
急诊科的谵妄:新颖的筛选和自然过程
- 批准号:
8073128 - 财政年份:2010
- 资助金额:
$ 14.9万 - 项目类别:
Delirium in the Emergency Department: Novel Screening and Natural Course
急诊科的谵妄:新颖的筛选和自然过程
- 批准号:
8292020 - 财政年份:2010
- 资助金额:
$ 14.9万 - 项目类别:
Delirium in the Emergency Department: Novel Screening and Natural Course
急诊科的谵妄:新颖的筛选和自然过程
- 批准号:
7894051 - 财政年份:2010
- 资助金额:
$ 14.9万 - 项目类别:
Delirium in the Emergency Department: Novel Screening and Natural Course
急诊科的谵妄:新颖的筛选和自然过程
- 批准号:
8489233 - 财政年份:2010
- 资助金额:
$ 14.9万 - 项目类别:
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