Claire Copeland@Sparklystar55

@GeriSoc journal club @GIMJClub Sun 29th Oct 8 - 9pm looking at IQCODE paper #delirium #dementia @delirious_dr  https://academic.oup.com/ageing/article-lookup/doi/10.1093/ageing/afw065 …

Tue, Oct 24 2017 10:16:53

ReplyRetweetFavorite

https://twitter.com/Sparklystar55/status/922768853117087744

— Claire Copeland (@Sparklystar55)Tue, Oct 24 2017 10:16:53

Claire Copeland@Sparklystar55

@GIMJClub here's a link to the IQCODE  http://rsph.anu.edu.au/files/English_long.pdf … #delirium #dementia

Wed, Oct 25 2017 17:11:27

ReplyRetweetFavorite

https://twitter.com/Sparklystar55/status/923235569873948674

— Claire Copeland (@Sparklystar55)Wed, Oct 25 2017 17:11:27

In@myhead0

@Sparklystar55 @ScotDelirium @GIMJClub "short form" version just as effective -  http://www.bgs.org.uk/Publications/deliriumtk/contents/pdfs_word_files/iqcode.doc …

Wed, Oct 25 2017 21:37:46

ReplyRetweetFavorite

https://twitter.com/myhead0/status/923302592205217793

— In (@myhead0)Wed, Oct 25 2017 21:37:46

Cochrane DCIG@CochraneDCIG

Our reviews on IQCODE in hospital settings  http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010772.pub2/full … #usefulreading #genmedjc

Sun, Oct 29 2017 20:16:05

ReplyRetweetFavorite

https://twitter.com/CochraneDCIG/status/924731587861909505

— Cochrane DCIG (@CochraneDCIG)Sun, Oct 29 2017 20:16:05

Cochrane DCIG@CochraneDCIG

And on delayed verification  http://www.cochrane.org/CD011333/DEMENTIA_using-structured-questionnaire-iqcode-detect-individuals-who-may-go-develop-dementia … #dementia #genmedjc

Sun, Oct 29 2017 20:21:55

ReplyRetweetFavorite

https://twitter.com/CochraneDCIG/status/924733052575731714

— Cochrane DCIG (@CochraneDCIG)Sun, Oct 29 2017 20:21:55

Claire Copeland@Sparklystar55

The other informant tool used in this months @GIMJClub paper was the AD8 - here's a link to it  http://knightadrc.wustl.edu/About_Us/PDFs/AD8form2005.pdf … #dementia #delirium

Thu, Oct 26 2017 14:44:04

ReplyRetweetFavorite

https://twitter.com/Sparklystar55/status/923560869128278016

— Claire Copeland (@Sparklystar55)Thu, Oct 26 2017 14:44:04

GIM Journal Club@GIMJClub

Q1. First up - what do people think about trying to diagnose underlying dementia during delirium? #genmedjc

Sun, Oct 29 2017 20:02:47

ReplyRetweetFavorite

https://twitter.com/GIMJClub/status/924728239477657601

— GIM Journal Club (@GIMJClub)Sun, Oct 29 2017 20:02:47

Jenni Burton@JenniKBurton

@GIMJClub Concerns about labelling, potential for missing ‘delirium as a med emergency message’ & availability of robust collateral history

Sun, Oct 29 2017 20:09:30

ReplyRetweetFavorite

https://twitter.com/JenniKBurton/status/924729927898992641

— Jenni Burton (@JenniKBurton)Sun, Oct 29 2017 20:09:30

Alasdair MacLullich@A_MacLullich

@GIMJClub It's important to know if a patient has dementia at whatever part of the healthcare system we are seeing them in.

Sun, Oct 29 2017 20:10:22

ReplyRetweetFavorite

https://twitter.com/A_MacLullich/status/924730148007661568

— Alasdair MacLullich (@A_MacLullich)Sun, Oct 29 2017 20:10:22

Claire Copeland@Sparklystar55

My personal worry is the message we inadvertently send when trying to diagnose #delirium & distinguishing it from dementia #genmedjc  https://twitter.com/gimjclub/status/924728239477657601 …

Sun, Oct 29 2017 20:08:31

ReplyRetweetFavorite

https://twitter.com/Sparklystar55/status/924729680531460100

— Claire Copeland (@Sparklystar55)Sun, Oct 29 2017 20:08:31

Eilidh@EilidhPinkChic

@GIMJClub @Sparklystar55 2 different diagnoses in my head: dementia chronic which some may have. Delerium: acute organ (brain) failure needs urgent Tx #genmedjc

Sun, Oct 29 2017 20:14:32

ReplyRetweetFavorite

https://twitter.com/EilidhPinkChic/status/924731194679242752

— Eilidh (@EilidhPinkChic)Sun, Oct 29 2017 20:14:32

Alasdair MacLullich@A_MacLullich

@EilidhPinkChic @GIMJClub @Sparklystar55 Agree - the initial Rx is different apart from some overlap re communication/management of falls risk/etc

Sun, Oct 29 2017 20:17:19

ReplyRetweetFavorite

https://twitter.com/A_MacLullich/status/924731896512249856

— Alasdair MacLullich (@A_MacLullich)Sun, Oct 29 2017 20:17:19

Alex Bann@AlexBann1

@GIMJClub delirium- a life threatening illness, treatment and management of delirium is priority and dementia investigation may detract from this

Sun, Oct 29 2017 20:18:13

ReplyRetweetFavorite

https://twitter.com/AlexBann1/status/924732122581127169

— Alex Bann (@AlexBann1)Sun, Oct 29 2017 20:18:13

In@myhead0

@A_MacLullich @AlexBann1 @GIMJClub delirium definitely a priority, but research showing high correlation = dementia. IQCODE helps earlier Dx

@GIMJClub

·

Sun, Oct 29 2017 22:29:17

ReplyRetweetFavorite

https://twitter.com/myhead0/status/924899350656049152

— In (@myhead0)Sun, Oct 29 2017 22:29:17

Jenni Burton@JenniKBurton

@GIMJClub Personally the structure of tool helpful to formalise (provided informant is a close one) vs ‘narrative’ - doing ok, managing etc

Sun, Oct 29 2017 20:19:19

ReplyRetweetFavorite

https://twitter.com/JenniKBurton/status/924732398553698306

— Jenni Burton (@JenniKBurton)Sun, Oct 29 2017 20:19:19

Jon Hilton@JonJHilton

Seems difficult and pointless - makes more sense to me to wait until delirium has passed #genmedjc  https://twitter.com/GIMJClub/status/924728239477657601 …

Sun, Oct 29 2017 20:08:56

ReplyRetweetFavorite

https://twitter.com/JonJHilton/status/924729785623990273

— Jon Hilton (@JonJHilton)Sun, Oct 29 2017 20:08:56

Eilidh@EilidhPinkChic

@JonJHilton @GIMJClub I agree! Perhaps not totally pointless but utility definitely reduced as i suspect lots of false +ves?? #genmedjc

Sun, Oct 29 2017 20:20:36

ReplyRetweetFavorite

https://twitter.com/EilidhPinkChic/status/924732721196277760

— Eilidh (@EilidhPinkChic)Sun, Oct 29 2017 20:20:36

GIM Journal Club@GIMJClub

Paper suggests IQCODE cut off >3.82 positively identifies 56/61 dementia & falsely implies dementia in 3/39 who don't have dementia  https://twitter.com/EilidhPinkChic/status/924732721196277760 …

Sun, Oct 29 2017 20:22:39

ReplyRetweetFavorite

https://twitter.com/GIMJClub/status/924733240295985154

— GIM Journal Club (@GIMJClub)Sun, Oct 29 2017 20:22:39

Rowan Harwood@RowanHarwood

@emmavardy2 @JenniKBurton @GIMJClub Can be done sometimes of collateral history is clear. But acknowledge uncertainty.

Mon, Oct 30 2017 22:56:44

ReplyRetweetFavorite

https://twitter.com/RowanHarwood/status/925134404401422341

— Rowan Harwood (@RowanHarwood)Mon, Oct 30 2017 22:56:44

GIM Journal Club@GIMJClub

Q2. Ok so detecting dementia is important - paper uses informant tools. How 'real world' is this given probs with collateral hx #genmedjc

Sun, Oct 29 2017 20:16:08

ReplyRetweetFavorite

https://twitter.com/GIMJClub/status/924731597701644288

— GIM Journal Club (@GIMJClub)Sun, Oct 29 2017 20:16:08

Alasdair MacLullich@A_MacLullich

@GIMJClub Can probably get a good informant Hx 2/3 of the time - my guesstimate.

Sun, Oct 29 2017 20:21:28

ReplyRetweetFavorite

https://twitter.com/A_MacLullich/status/924732941523210240

— Alasdair MacLullich (@A_MacLullich)Sun, Oct 29 2017 20:21:28

Alasdair MacLullich@A_MacLullich

@GIMJClub However, as my colleague @ZoeTieges has pointed out, the informant Hx varies in quality/accuracy, for lots of reasons

Sun, Oct 29 2017 20:22:13

ReplyRetweetFavorite

https://twitter.com/A_MacLullich/status/924733131202158598

— Alasdair MacLullich (@A_MacLullich)Sun, Oct 29 2017 20:22:13

Alasdair MacLullich@A_MacLullich

@GIMJClub Eg. informant doesn't know pt that well, or has impairment themselves, or hasn't noticed change that is there, etc.

Sun, Oct 29 2017 20:23:10

ReplyRetweetFavorite

https://twitter.com/A_MacLullich/status/924733368004153345

— Alasdair MacLullich (@A_MacLullich)Sun, Oct 29 2017 20:23:10

Eilidh@EilidhPinkChic

@A_MacLullich @GIMJClub & i can't help but wonder small subtle chronic changes perhaps missed by NOK who sees patient often/lives with them? #genmedjc

Sun, Oct 29 2017 20:24:31

ReplyRetweetFavorite

https://twitter.com/EilidhPinkChic/status/924733708703166464

— Eilidh (@EilidhPinkChic)Sun, Oct 29 2017 20:24:31