Delirium Among Elderly Patients in Emergency Departments: Incidence, Contributing Factors, Treatment Approaches, and Hospitalization Outcomes
By
Liron Sinvani
Sofie Nelson
Alexandra Perrin
Shahidul Islam
Cristina Sison
Stefani Slotnick
Vincent Chua
Kristen Porreca
Douglas P. Barnaby
Susan Kwiatek
Karen Cary
Nidhi Garg
Payal Sud
Alex Makhnevich
June 2, 2026
Clinical Scorecard: Delirium Among Elderly Patients in Emergency Departments: Incidence, Contributing Factors, Treatment Approaches, and Hospitalization Outcomes
At a Glance
Category Detail
Condition Key Mechanisms Acute and fluctuating cognitive state characterized by inattention, disorganized thinking, and/or altered consciousness. Target Population Care Setting
Key Highlights
Delirium prevalence in EDs ranges from 5% to 20%. Risk factors include advanced age, cognitive impairment, and residing in long-term care facilities. Delirium is associated with prolonged hospitalization, functional and cognitive decline, and increased mortality. Guideline-Based Recommendations
Diagnosis
Delirium identified through a validated chart review methodology with a sensitivity of 74% and specificity of 83%. Management
Management strategies include restrictive and supportive strategies. Monitoring & Follow-up
Regular assessment of cognitive status and behavioral changes during ED stay. Risks
Adverse outcomes include prolonged hospitalization, functional and cognitive decline, and increased mortality. Patient & Prescribing Data
Management often involves psychoactive medications and physical restraints.
Clinical Best Practices
Implement nonpharmacologic approaches where possible. Enhance delirium detection through rigorous screening programs. Related Resources & Content
