{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T17:49:41Z","timestamp":1786470581729,"version":"build-2736575974"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,11]]},"DOI":"10.7759\/cureus.114359","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T17:26:51Z","timestamp":1786469211000},"source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of the Four \u2018A\u2019s Test (4AT) Delirium Screening Tool in Older Adults Presenting to the Emergency Department: A Rapid Systematic Review"],"prefix":"10.7759","author":[{"given":"William","family":"De Vivo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chioma","family":"Onuha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2019.11.001","article-title":"Delirium in the elderly","volume":"36","author":"Hshieh TT","year":"2020","unstructured":"Hshieh TT, Inouye SK, Oh ES. Delirium in the elderly. Clin Geriatr Med. 2020, 36:183-99. 10.1016\/j.cger.2019.11.001","journal-title":"Clin Geriatr Med"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2012-131608","article-title":"Emergency physician recognition of delirium","volume":"89","author":"Suffoletto B","year":"2013","unstructured":"Suffoletto B, Miller T, Frisch A, Callaway C. Emergency physician recognition of delirium. Postgrad Med J. 2013, 89:621-5. 10.1136\/postgradmedj-2012-131608","journal-title":"Postgrad Med J"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12165346","article-title":"Delirium and its association with short- and long-term health outcomes in medically admitted patients: a prospective study","volume":"12","author":"Al Huraizi AR","year":"2023","unstructured":"Al Huraizi AR, Al-Maqbali JS, Al Farsi RS, Al Zeedy K, Al-Saadi T, Al-Hamadani N, Al Alawi AM. Delirium and its association with short- and long-term health outcomes in medically admitted patients: a prospective study. J Clin Med. 2023, 12:5346. 10.3390\/jcm12165346","journal-title":"J Clin Med"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab243","article-title":"Improving delirium screening and recognition in UK hospitals: results of a multi-centre quality improvement project","volume":"51","author":"Geriatric Medicine Research Collaborative","year":"2022","unstructured":"Geriatric Medicine Research Collaborative. Improving delirium screening and recognition in UK hospitals: results of a multi-centre quality improvement project. Age Ageing. 2022, 51:243. 10.1093\/ageing\/afab243","journal-title":"Age Ageing"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu021","article-title":"Validation of the 4AT, a new instrument for rapid delirium screening: a study in 234 hospitalised older people","volume":"43","author":"Bellelli G","year":"2014","unstructured":"Bellelli G, Morandi A, Davis DH, et al.. Validation of the 4AT, a new instrument for rapid delirium screening: a study in 234 hospitalised older people. Age Ageing. 2014, 43:496-502. 10.1093\/ageing\/afu021","journal-title":"Age Ageing"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-019-1367-9","article-title":"Delirium detection in older acute medical inpatients: a multicentre prospective comparative diagnostic test accuracy study of the 4AT and the confusion assessment method","volume":"17","author":"Shenkin SD","year":"2019","unstructured":"Shenkin SD, Fox C, Godfrey M, et al.. Delirium detection in older acute medical inpatients: a multicentre prospective comparative diagnostic test accuracy study of the 4AT and the confusion assessment method. BMC Med. 2019, 17:138. 10.1186\/s12916-019-1367-9","journal-title":"BMC Med"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa224","article-title":"Diagnostic accuracy of the 4AT for delirium detection in older adults: systematic review and meta-analysis","volume":"50","author":"Tieges Z","year":"2021","unstructured":"Tieges Z, Maclullich AM, Anand A, et al.. Diagnostic accuracy of the 4AT for delirium detection in older adults: systematic review and meta-analysis. Age Ageing. 2021, 50:733-43. 10.1093\/ageing\/afaa224","journal-title":"Age Ageing"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2024.1345983","article-title":"The 4AT scale for rapid detection of delirium in emergency department triage","volume":"11","author":"Soler-Sanchis A","year":"2024","unstructured":"Soler-Sanchis A, Mart\u00ednez-Arnau FM, S\u00e1nchez-Frutos J, P\u00e9rez-Ros P. The 4AT scale for rapid detection of delirium in emergency department triage. Front Med (Lausanne). 2024, 11:1345983. 10.3389\/fmed.2024.1345983","journal-title":"Front Med (Lausanne)"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-023-02447-2","article-title":"Diagnostic accuracy of the Dutch version of the 4AT for delirium detection in a mixed patient population and setting","volume":"35","author":"Pouw MA","year":"2023","unstructured":"Pouw MA, Calf AH, Georg RR, de Rooij SE, Ter Maaten JC, van Munster BC. Diagnostic accuracy of the Dutch version of the 4AT for delirium detection in a mixed patient population and setting. Aging Clin Exp Res. 2023, 35:1705-10. 10.1007\/s40520-023-02447-2","journal-title":"Aging Clin Exp Res"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s41999-021-00558-5","article-title":"Delirium screening with 4AT in patients aged 65\u00a0years and older admitted to the Emergency Department with suspected sepsis: a prospective cohort study","volume":"13","author":"Myrstad M","year":"2022","unstructured":"Myrstad M, Kuwelker K, Haakonsen S, et al.. Delirium screening with 4AT in patients aged 65\u00a0years and older admitted to the Emergency Department with suspected sepsis: a prospective cohort study. Eur Geriatr Med. 2022, 13:155-62. 10.1007\/s41999-021-00558-5","journal-title":"Eur Geriatr Med"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.83361","article-title":"Implementing standardised delirium screening using the Four A's Test (4AT) in the emergency department: a quality improvement project","volume":"17","author":"Durant DC","year":"2025","unstructured":"Durant DC, Karia P. Implementing standardised delirium screening using the Four A's Test (4AT) in the emergency department: a quality improvement project. Cureus. 2025, 17:e83361. 10.7759\/cureus.83361","journal-title":"Cureus"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.3310\/hta23400","article-title":"The 4 'A's test for detecting delirium in acute medical patients: a diagnostic accuracy study","volume":"23","author":"MacLullich AM","year":"2019","unstructured":"MacLullich AM, Shenkin SD, Goodacre S, et al.. The 4 'A's test for detecting delirium in acute medical patients: a diagnostic accuracy study. Health Technol Assess. 2019, 23:1-194. 10.3310\/hta23400","journal-title":"Health Technol Assess"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa069","article-title":"Use of a digital delirium pathway and quality improvement to improve delirium detection in the emergency department and outcomes in an acute hospital","volume":"49","author":"Vardy E","year":"2020","unstructured":"Vardy E, Collins N, Grover U, et al.. Use of a digital delirium pathway and quality improvement to improve delirium detection in the emergency department and outcomes in an acute hospital. Age Ageing. 2020, 49:672-8. 10.1093\/ageing\/afaa069","journal-title":"Age Ageing"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/516221-feasibility-of-the-four-as-test-4at-delirium-screening-tool-in-older-adults-presenting-to-the-emergency-department-a-rapid-systematic-review","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T17:26:52Z","timestamp":1786469212000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/516221-feasibility-of-the-four-as-test-4at-delirium-screening-tool-in-older-adults-presenting-to-the-emergency-department-a-rapid-systematic-review"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,11]]},"references-count":13,"URL":"https:\/\/doi.org\/10.7759\/cureus.114359","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,11]]}}}