- @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 …
https://twitter.com/Sparklystar55/status/922768853117087744
— Claire Copeland (@Sparklystar55)Tue, Oct 24 2017 10:16:53 - @GIMJClub here's a link to the IQCODE http://rsph.anu.edu.au/files/English_long.pdf … #delirium #dementia
https://twitter.com/Sparklystar55/status/923235569873948674
— Claire Copeland (@Sparklystar55)Wed, Oct 25 2017 17:11:27 - @Sparklystar55 @ScotDelirium @GIMJClub "short form" version just as effective - http://www.bgs.org.uk/Publications/deliriumtk/contents/pdfs_word_files/iqcode.doc …
https://twitter.com/myhead0/status/923302592205217793
— In (@myhead0)Wed, Oct 25 2017 21:37:46 - Our reviews on IQCODE in hospital settings http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010772.pub2/full … #usefulreading #genmedjc
https://twitter.com/CochraneDCIG/status/924731587861909505
— Cochrane DCIG (@CochraneDCIG)Sun, Oct 29 2017 20:16:05 https://twitter.com/CochraneDCIG/status/924733052575731714
— Cochrane DCIG (@CochraneDCIG)Sun, Oct 29 2017 20:21:55- 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
https://twitter.com/Sparklystar55/status/923560869128278016
— Claire Copeland (@Sparklystar55)Thu, Oct 26 2017 14:44:04 - Q1. First up - what do people think about trying to diagnose underlying dementia during delirium? #genmedjc
https://twitter.com/GIMJClub/status/924728239477657601
— GIM Journal Club (@GIMJClub)Sun, Oct 29 2017 20:02:47 - @GIMJClub Concerns about labelling, potential for missing ‘delirium as a med emergency message’ & availability of robust collateral history
https://twitter.com/JenniKBurton/status/924729927898992641
— Jenni Burton (@JenniKBurton)Sun, Oct 29 2017 20:09:30 - @GIMJClub It's important to know if a patient has dementia at whatever part of the healthcare system we are seeing them in.
https://twitter.com/A_MacLullich/status/924730148007661568
— Alasdair MacLullich (@A_MacLullich)Sun, Oct 29 2017 20:10:22 - 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 …
https://twitter.com/Sparklystar55/status/924729680531460100
— Claire Copeland (@Sparklystar55)Sun, Oct 29 2017 20:08:31 - @GIMJClub @Sparklystar55 2 different diagnoses in my head: dementia chronic which some may have. Delerium: acute organ (brain) failure needs urgent Tx #genmedjc
https://twitter.com/EilidhPinkChic/status/924731194679242752
— Eilidh (@EilidhPinkChic)Sun, Oct 29 2017 20:14:32 - @EilidhPinkChic @GIMJClub @Sparklystar55 Agree - the initial Rx is different apart from some overlap re communication/management of falls risk/etc
https://twitter.com/A_MacLullich/status/924731896512249856
— Alasdair MacLullich (@A_MacLullich)Sun, Oct 29 2017 20:17:19 - @GIMJClub delirium- a life threatening illness, treatment and management of delirium is priority and dementia investigation may detract from this
https://twitter.com/AlexBann1/status/924732122581127169
— Alex Bann (@AlexBann1)Sun, Oct 29 2017 20:18:13 - @A_MacLullich @AlexBann1 @GIMJClub delirium definitely a priority, but research showing high correlation = dementia. IQCODE helps earlier Dx
https://twitter.com/myhead0/status/924899350656049152
— In (@myhead0)Sun, Oct 29 2017 22:29:17 - @GIMJClub Personally the structure of tool helpful to formalise (provided informant is a close one) vs ‘narrative’ - doing ok, managing etc
https://twitter.com/JenniKBurton/status/924732398553698306
— Jenni Burton (@JenniKBurton)Sun, Oct 29 2017 20:19:19 - Seems difficult and pointless - makes more sense to me to wait until delirium has passed #genmedjc https://twitter.com/GIMJClub/status/924728239477657601 …
https://twitter.com/JonJHilton/status/924729785623990273
— Jon Hilton (@JonJHilton)Sun, Oct 29 2017 20:08:56 - @JonJHilton @GIMJClub I agree! Perhaps not totally pointless but utility definitely reduced as i suspect lots of false +ves?? #genmedjc
https://twitter.com/EilidhPinkChic/status/924732721196277760
— Eilidh (@EilidhPinkChic)Sun, Oct 29 2017 20:20:36 - 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 …
https://twitter.com/GIMJClub/status/924733240295985154
— GIM Journal Club (@GIMJClub)Sun, Oct 29 2017 20:22:39 - @emmavardy2 @JenniKBurton @GIMJClub Can be done sometimes of collateral history is clear. But acknowledge uncertainty.
https://twitter.com/RowanHarwood/status/925134404401422341
— Rowan Harwood (@RowanHarwood)Mon, Oct 30 2017 22:56:44 - Q2. Ok so detecting dementia is important - paper uses informant tools. How 'real world' is this given probs with collateral hx #genmedjc
https://twitter.com/GIMJClub/status/924731597701644288
— GIM Journal Club (@GIMJClub)Sun, Oct 29 2017 20:16:08 - @GIMJClub Can probably get a good informant Hx 2/3 of the time - my guesstimate.
https://twitter.com/A_MacLullich/status/924732941523210240
— Alasdair MacLullich (@A_MacLullich)Sun, Oct 29 2017 20:21:28 - @GIMJClub However, as my colleague @ZoeTieges has pointed out, the informant Hx varies in quality/accuracy, for lots of reasons
https://twitter.com/A_MacLullich/status/924733131202158598
— Alasdair MacLullich (@A_MacLullich)Sun, Oct 29 2017 20:22:13 - @GIMJClub Eg. informant doesn't know pt that well, or has impairment themselves, or hasn't noticed change that is there, etc.
https://twitter.com/A_MacLullich/status/924733368004153345
— Alasdair MacLullich (@A_MacLullich)Sun, Oct 29 2017 20:23:10 - @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
https://twitter.com/EilidhPinkChic/status/924733708703166464
— Eilidh (@EilidhPinkChic)Sun, Oct 29 2017 20:24:31
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