Re:Informant based questionnaire I-AGeD tool to improve poor recognition of delirium in emergency room.
We agree that delirium is serious, and more structured instruments are needed for providers of multiple specialties to detect delirium in multiple health care settings. While we have no experience on the I-AGeD in our emergency departments, we note that caregivers often are not available at the time of emergency presentation. Also, we find veracity of caregiver reports highly dependent on relationship and time spent with the patient. Ideally, providers should have access to tools that use only patient-level information in addition to tools that use caregiver information for diagnosing delirium.
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