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To reduce universal screening, the Delirium Risk Score may be used to identify older adults at low risk for delirium, though the evidence certainty is very low. In adults over 65 admitted to ED observation units, Zucchelli's risk assessment tool (threshold \u2265\u20094) may stratify delirium risk, also with very low certainty. For adults over 75, the REDEEM Score may be used to identify low\u2010 or high\u2010risk individuals, again with very low certainty. For diagnosis, 4AT, bCAM, CAM\u2010ICU, mCAM, AMT\u20104, or RASS may be used to rule delirium in or out, based on very low certainty. The Delirium Triage Screen (DTS) may be used to rule out, but not to rule in, delirium, also with very low certainty. For diagnostic imaging, there is very low certainty of evidence to recommend for or against obtaining a head CT as part of the evaluation for older ED patients with delirium. All recommendations are conditional, reflecting very low certainty of evidence due to the lack of high\u2010quality ED\u2010based studies and comparative effectiveness research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Rigorous ED\u2010based research is needed to strengthen evidence and guide delirium care for older adults in geriatric emergency medicine.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acem.70167","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T05:17:01Z","timestamp":1761628621000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["GRADE\u2010Based Clinical Practice Guidelines for Emergency Department Delirium Risk Stratification, Screening, and Brain Imaging in Older Patients With Suspected 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