Delirium Evaluation in the Emergency Department for Seniors (DEEDS)

老年人急诊科谵妄评估 (DEEDS)

• 批准号: 9476185
• 负责人: Michael Andrew LaMantia
• 金额: $ 10.11万
• 依托单位: UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-01 至 2019-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9476185
• 关键词: Accident and Emergency department; Acute; Affect; Aging; Attention; Awareness; Caring; Clinical; Clinical Investigator; Cognition; Cognitive; Data; Delirium; Detection; Development; Development Plans; Distal; Documentation; Early Diagnosis; Elderly; Emergency Department Physician; Emergency Medicine; Emergency Situation; Environment; Evaluation; Focus Groups; Frequencies; Geriatrics; Goals; Health; Health Services Research; Indiana; Institutes; Internal Medicine; Interview; K-Series Research Career Programs; Lead; Literature; Medical; Medical Records; Medical Sociology; Medicine; Mentally Ill Persons; Mentors; Methods; Observational Study; Patient-Focused Outcomes; Patients; Pattern; Personal Satisfaction; Physician Assistants; Positioning Attribute; Provider; Research; Research Personnel; Research Project Grants; Research Training; Resources; Science; Scientist; Standardization; Suggestion; System; Techniques; Testing; Time; Uncertainty; Universities; Work; care seeking; care systems; career; career development; collaborative environment; design; evidence base; experience; improved; instrument; medical schools; member; mental state; mortality; older patient; pressure; professor; programs; prospective; public health relevance; skills; therapy design

DESCRIPTION (provided by applicant): The applicant, Michael LaMantia, MD, MPH is a geriatric physician and Assistant Professor of Medicine in the Division of General Internal Medicine and Geriatrics in the Department of Medicine at Indiana University. He additionally is a scientist at the Indiana University Center for Aging Research and Regenstrief Institute, Inc. The candidate's long-term career goal is to become a geriatrics clinical investigator who designs and implements systems of care to promote and improve the well-being of vulnerable older adults in the emergency department (ED) and other acute care environments. The research proposed in this application will provide information regarding the evaluation of delirium among older adults in the ED that is needed to improve the management of this serious condition. The candidate's immediate objectives are: (1) to acquire the research skills necessary to succeed in this program of research; (2) to gain the background needed to lead the design and implementation of systems that will provide better care to older adults in the acute care environment; (3) to conduct a mentored research program to evaluate the patient, provider, and workflow factors that influence the detection of delirium by emergency physicians (EPs); (4) to determine, by querying EPs the most effective cognitive strategies employed to recognize delirium; and (5) to extend the body of research regarding both short and long-term outcomes of patients whose delirium is either recognized or unrecognized in the ED . At the conclusion of this project, the candidate will apply data obtained from these studies to propose a logical and well-designed intervention to improve recognition and management of older adults with delirium in the ED in his first R01 submission. The career development plan proposes course work, a research project, and mentoring from a team of experienced investigators with expertise in a variety of relevant fields (health services research, medical sociology, emergency medicine, and delirium science) to provide synergistic advice on the accomplishment of the proposed projects. The applicant will benefit from a host of local resources available to support him in the completion of this project including the Indiana University School of Medicine and IU Center for Aging Research; the Regenstrief Institute and its extensive Regenstrief Medical Record System; as well as the clinical resources of the Indiana University Department of Emergency Medicine.

描述（由申请人提供）：申请人Michael LaMantia，医学博士，公共卫生硕士，是印第安纳州大学医学系普通内科和老年病科的老年内科医生和医学助理教授。此外，他还是印第安纳州大学老龄化研究中心和Regenstrief研究所的科学家。候选人的长期职业目标是成为一名老年医学临床研究员，设计和实施护理系统，以促进和改善急诊科（艾德）和其他急性护理环境中弱势老年人的福祉。本申请中提出的研究将提供有关评估艾德老年人谵妄的信息，这是改善这种严重疾病管理所需的。候选人的直接目标是：（1）获得必要的研究技能，在这个研究计划取得成功;（2）获得所需的背景，以领导系统的设计和实施，将提供更好的照顾，以老年人在急性护理环境;（3）进行指导研究计划，以评估患者，提供者，（4）通过询问急诊医生（EP）来确定用于识别谵妄的最有效的认知策略;以及（5）扩展关于在艾德中意识到或未意识到谵妄的患者的短期和长期结果的研究。在本项目结束时，候选人将应用从这些研究中获得的数据，提出一个合理的和精心设计的干预措施，以改善识别和管理老年人谵妄在艾德在他的第一个R 01提交。职业发展计划提出了课程工作，研究项目，并从一个经验丰富的研究人员团队的指导，在各种相关领域的专业知识（卫生服务研究，医学社会学，急救医学和谵妄科学），以提供有关拟议项目的完成协同建议。申请人将受益于一系列当地资源，以支持他完成 该项目包括印第安纳州大学医学院和IU老龄化研究中心; Regenstrief研究所及其广泛的Regenstrief医疗记录系统;以及印第安纳州大学急诊医学系的临床资源。

项目成果

Emergency medical service, nursing, and physician providers' perspectives on delirium identification and management.

• DOI: 10.1177/1471301215591896
• 发表时间: 2017-04
• 期刊: Dementia (London, England)
• 作者: LaMantia MA;Messina FC;Jhanji S;Nazir A;Maina M;McGuire S;Hobgood CD;Miller DK
• 通讯作者: Miller DK

[Aging Brain Care Program from Indianapolis: Transferability to the German healthcare system].

[印第安纳波利斯的老龄化大脑护理计划：向德国医疗保健系统的转移]。

• DOI: 10.1007/s00391-015-0904-1
• 发表时间: 2016
• 期刊: Zeitschrift fur Gerontologie und Geriatrie
• 影响因子: 1.2
• 作者: Vollmar,HC;Thyrian,JR;LaMantia,MA;Alder,CA;GuerrieroAustrom,MM;Callahan,C;Leve,V;Hoffmann,W;Boustani,M
• 通讯作者: Boustani,M