Delirium Clinical Practice Guidelines: What do we know, and what should we do?

About this episode

Dr. Danya Khoujah discusses the first clinical practice guideline on delirium in the Geriatric Emergency Department.

Dr. Danya Khoujah joins GEMCast host Dr. Christina to dive into the first clinical practice guideline in the Geriatric Emergency Department (GED) Guidelines 2.0, which is dedicated to delirium. Delirium is a clinical syndrome characterised by acute and fluctuating disturbances of attention, awareness, perception or consciousness and it commonly affects older adults presenting to the ED. However, it is often missed, which has significant impacts on mortality and functional status of older patients. Khoujah is an attending physician in the Department of Emergency Medicine at AdventHealth Tampa in Florida, and host of GEDC’s expert-panel webinars. She is part of the multidisciplinary team that created this GRADE-based clinical guideline, and in this episode, she talks through the development and recommendations arising from the guideline. The group aimed to assess the quality and applicability of direct and indirect evidence, with the goal of providing ED clinicians a patient-centred approach to delirium. To do so they asked 3 key questions: Which older patients in the ED are at higher risk of delirium? Which diagnostic tests are effective at identifying ED delirium? Do older ED…

People in this episode

Host: Christina Shenvi

Guest: Dr. Danya Khoujah

Topics covered

• delirium
• clinical practice guidelines
• geriatric emergency department
• diagnostic tests
• patient-centered approach

Keywords

• delirium
• clinical guidelines
• emergency department
• older adults
• diagnostic tests
• CT head

Mentioned in this episode

Organizations: AdventHealth Tampa, GED Guidelines 2.0, GEDC

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