Le repérage et le diagnostic de l’état confusionnel aigu chez les personnes âgées : quels outils rapides ? (notice n° 647706)
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| fixed length control field | 03699cam a2200337 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121183638.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Andorra, Boris |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Le repérage et le diagnostic de l’état confusionnel aigu chez les personnes âgées : quels outils rapides ? |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2022.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 42 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Delirium is very common in hospitalized older patients and associated with serious clinical outcomes, notably increased risk of functional decline and death. Despite its high prevalence in the hospital setting, delirium is still underdiagnosed. A better identification would allow an early management and a reduction of its complications. To achieve this, the validation of formalized, easy-to-use and quick tools for the identification of delirium and their implementation in our clinical practice are necessary.The objective of this narrative review is to describe the available tools for delirium identification most commonly used in clinical practice and in research, followed by those that are quick to very quick to complete (i.e., less than 3 minutes).This review identified 4 tools frequently used internationally (CAM, DRS-R-98, DOSS, MDAS). Their completion time varies from 5 to 30 minutes. Rapid or very rapid tools exist, with very good diagnostic performance. Among them, the 4AT, the 3D-CAM and the UB-CAM seem particularly promising. These last tools seem interesting for a large-scale implementation at the national level, but a validation in French remains to be done. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | L’état confusionnel aigu (ECA) est fréquent chez les patients âgés hospitalisés induisant de graves conséquences cliniques. Malgré sa prévalence élevée, l’ECA est souvent sous-diagnostiqué. Un repérage précoce de l’ECA permettrait une prise en charge optimisée, et une diminution de l’incidence des complications. Pour cela, la validation d’outils formalisés et simples d’utilisation est nécessaire.L’objectif de cette revue narrative était de décrire les performances et l’intérêt des outils de repérage de l’ECA les plus fréquemment utilisés en pratique clinique et en recherche, dont ceux ayant une durée de passation rapide (durée inférieure à 3 minutes).Cette revue a permis d’identifier quatre outils, fréquemment utilisés, et validés sur le plan international (CAM, DRS-R-98, DOSS, MDAS), dont trois disposent d’une version française. Les temps de passation de ces outils varient entre 5 et 30 minutes. Bien qu’ils aient un niveau de preuve plus limité, d’autres outils ayant une durée de passation plus rapide, comme la 4AT, la 3D-CAM et l’UB-CAM, semblent prometteurs, notamment en raison d’excellentes performances diagnostiques. De prochaines études devront être menées afin de valider ces outils en langue française, et de mieux préciser leur utilisation et leur impact en pratique clinique. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | confusion |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | outils diagnostiques |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | sujets âgés |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | repérage |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | delirium |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | tools |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | identification |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | older adults |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Boussuge, Alexandre |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Gilbert, Thomas |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Chapelet, Guillaume |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Tannou, Thomas |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Krolak-Salmon, Pierre |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Garnier-Crussard, Antoine |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Gériatrie et Psychologie Neuropsychiatrie du Vieillissement | 20 | 1 | 2022-01-09 | p. 17-27 | 2115-8789 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2022-1-page-17?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2022-1-page-17?lang=fr&redirect-ssocas=7080</a> |
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