Delirium in Older Patients With COVID-19 Presenting to the Emergency Department | Zendy

Maura Kennedy | Zendy; Benjamin Helfand | Zendy; Ray Yun Gou | Zendy; Sarah L. Gartaganis | Zendy; Margaret Webb | Zendy; Joan Michelle Moccia | Zendy; Stacey Bruursema | Zendy; Belinda Dokic | Zendy; Brigid McCulloch | Zendy; Hope Ring | Zendy; Justin Margolin | Zendy; Ellen Zhang | Zendy; Robert J. Anderson | Zendy; Rhonda L. Babine | Zendy; Tammy T. Hshieh | Zendy; Ambrose H. Wong | Zendy; Richard A. Taylor | Zendy; Kathleen Davenport | Zendy; Brittni B. Teresi | Zendy; Tamara G. Fong | Zendy; Sharon K. Inouye | Zendy

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Delirium in Older Patients With COVID-19 Presenting to the Emergency Department

Author(s) -

Maura Kennedy,

Benjamin Helfand,

Ray Yun Gou,

Sarah L. Gartaganis,

Margaret Webb,

Joan Michelle Moccia,

Stacey Bruursema,

Belinda Dokic,

Brigid McCulloch,

Hope Ring,

Justin Margolin,

Ellen Zhang,

Robert J. Anderson,

Rhonda L. Babine,

Tammy T. Hshieh,

Ambrose H. Wong,

Richard A. Taylor,

Kathleen Davenport,

Brittni B. Teresi,

Tamara G. Fong,

Sharon K. Inouye

Publication year - 2020

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2020.29540

Subject(s) - delirium , medicine , emergency department , pediatrics , retrospective cohort study , emergency medicine , medical record , cohort , cohort study , covid-19 , intensive care medicine , disease , psychiatry , infectious disease (medical specialty)

Key Points Question How frequently do older adults (aged ≥65 years) with coronavirus disease 2019 (COVID-19) present to the emergency department (ED) with delirium? Findings In this cohort study of 817 older ED patients with COVID-19, 28% had delirium at presentation, and delirium was the sixth most common of all presenting symptoms and signs. Among delirious patients, 16% presented with delirium as a primary symptom and 37% had no typical COVID-19 symptoms or signs, such as cough or fever. Meaning These findings suggest that older adults with COVID-19 commonly present to the ED with delirium and that delirium should be considered an important presenting symptom of COVID-19.

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