Ayele Agena, Bizuayehu Atinafu Ataro, Eshetu Elfios Endrias, Belete Birhan, Yacob Abriham Borie, Gezahegn Bekele, Ezedin Molla, Tinbete Samuel, Tomas Yeheyis, Ayantu Melesse, Debora Banga
Nurses' knowledge, Practice, and Associated Factors Towards Adult Palliative Care: A Cross-sectional Study
Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association
delirium acute state impaired consciousness medical urgency broad range alterations mental status make diagnosis challenging awareness accurate provisional diagnosis nonpsychiatric clinicians important prompt management delirium symptoms overlap mimic neuropsychiatric conditions referral consultant psychiatrist often needed aim study determine discriminating variables associated concordance discordance dsm5 delirium diagnosis made consultationliaison cl psychiatrist compared referral diagnosisreasons given referring physicians inpatients tertiary hospital latinamerican country prospective study cohort 399 consecutive patients admitted ward university hospital medellincolombia referred specialist physician cl psychiatry service analyses diagnostic concordance used nested sample 140 cases diagnosed delirium psychiatrist two multivariate logistic models run delirium diagnosis concordance discordance referring physician cl psychiatrist referral diagnosis concordant psychiatry 90140 patients 643 357 discordance increasing age 1024 internal medicine ward 30 significantly related wald statistic p 05 concordance multivariate analysis whose model accuracy 686 traumaorthopedics ward 57 sarscov2 infection 38 important contributors model fit though significant accuracy discordance model 707 central nervous system cns disorder 61 referrals icu 49 surgery 46 neurologyneurosurgery 51 another consultant 47 significantly related wald statistic p 05 metabolicendocrine disorder 27 important model fit significant concordance delirium diagnosis higher services education guidelines working relationships cl psychiatry could contributed beneficially whereas surprisingly cns disorders neurologyneurosurgery services higher discordance well icu routine use brief sensitive delirium assessment tools ddtpro could enhance provisional delirium diagnosis