{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T13:50:51Z","timestamp":1747230651197,"version":"3.40.5"},"reference-count":0,"publisher":"Canadian Geriatrics Society","issue":"3","license":[{"start":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T00:00:00Z","timestamp":1662076800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can Geriatr J"],"abstract":"<jats:p>Background\nThe current literature provides heterogeneous recommendation regarding the investigation of older delirious patients, which may lead to over-testing. Our study aims to describe Canadian physicians\u2019 current practice for the investigation of older patients with delirium. Our secondary objective is to define specific indications for performing a CT head scan in this population.\nMethods\nDesign: cross-sectional online survey. Participants: physicians who conduct their clinical practice in Canada and who care for older patients with delirium. Potential study participants were reached through Canadian associations: Canadian Geriatrics Society, the Canadian Association of Emergency Physicians, the Association des M\u00e9decins d\u2019Urgence du Qu\u00e9bec, and members of Choosing Wisely Canada.\nResults\nWe received 296 survey responses. More than 80% of respondents always order complete blood count, urea, and creatinine and electrolytes. Extended electrolytes, TSH, chest X-ray, electrocardiogram, urinalysis and urinary culture tests tend to be ordered somewhat frequently. Physicians mostly agreed to order a head CT scan for loss of consciousness, altered mental status, fall, and anticoagulation.\nConclusions\nPhysicians\u2019 investigations for older patients with delirium are highly variable, even with the lack of evidence supporting a broad workup. Also, respondents mostly align with current recommendations of indications for CT head scans.<\/jats:p>","DOI":"10.5770\/cgj.25.580","type":"journal-article","created":{"date-parts":[[2022,9,3]],"date-time":"2022-09-03T03:01:28Z","timestamp":1662174088000},"page":"279-284","source":"Crossref","is-referenced-by-count":0,"title":["Survey on Current Practice of Canadian  Physicians Regarding the Investigation in  Older Patients with Delirium"],"prefix":"10.5770","volume":"25","author":[{"given":"Antoine","family":"Lagu\u00eb","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3117-2177","authenticated-orcid":false,"given":"Val\u00e9rie","family":"Boucher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pil","family":"Joo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishan","family":"Yadav","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Morasse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcel","family":"\u00c9mond","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3968","published-online":{"date-parts":[[2022,9,2]]},"container-title":["Canadian Geriatrics Journal"],"original-title":[],"link":[{"URL":"https:\/\/cgjonline.ca\/index.php\/cgj\/article\/download\/580\/827","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cgjonline.ca\/index.php\/cgj\/article\/download\/580\/839","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cgjonline.ca\/index.php\/cgj\/article\/download\/580\/827","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T03:05:18Z","timestamp":1662519918000},"score":1,"resource":{"primary":{"URL":"https:\/\/cgjonline.ca\/index.php\/cgj\/article\/view\/580"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,2]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,9,2]]}},"URL":"https:\/\/doi.org\/10.5770\/cgj.25.580","relation":{},"ISSN":["1925-8348"],"issn-type":[{"type":"electronic","value":"1925-8348"}],"subject":[],"published":{"date-parts":[[2022,9,2]]}}}