Family Identification of Delirium in the Emergency Department in Patients With and Without Dementia: Validity of the Family Confusion Assessment Method (FAM-CAM).

ABSTRACT:

Objective

To examine the ability of the family-rated Family Confusion Assessment Method (FAM-CAM) to identify delirium in the emergency department (ED) among patients with and without dementia, as compared to the reference-standard Confusion Assessment Method (CAM).

Design

Validation study.

Setting

Urban academic ED.

Participants

Dyads of ED patients, aged 70 years and older, and their family caregivers (N = 108 dyads).

Measurements

A trained reference standard interviewer performed a cognitive screen, delirium symptom assessment, and scored the CAM. The caregiver self-administered the FAM-CAM. Dementia was assessed using the Informant Questionnaire on Cognitive Decline in the Elderly and the medical record. For concurrent validity, performance of the FA

SUBMITTER: Mailhot T 

PROVIDER: S-EPMC7370702 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature