Systematic reviews which include the 4AT

Examples of systematic reviews and meta-analyses that include the 4AT.

Carpenter CR, Lee S, Kennedy M, Arendts G, Schnitker L, Eagles D, Mooijaart S, Fowler S, Doering M, LaMantia MA, Han JH, Liu SW. Delirium detection in the emergency department: A diagnostic accuracy meta-analysis of history, physical examination, laboratory tests, and screening instruments. Acad Emerg Med. 2024 Oct;31(10):1014-1036.

Penfold RS, Squires C, Angus A, Shenkin SD, Ibitoye T, Tieges Z, Neufeld KJ, Avelino-Silva TJ, Davis D, Anand A, Duckworth AD, Guthrie B, MacLullich AMJ. Delirium detection tools show varying completion rates and positive score rates when used at scale in routine practice in general hospital settings: A systematic review. J Am Geriatr Soc. 2024 Jan 19. doi: 10.1111/jgs.18751.

Lin CJ, Su IC, Huang SW, Chen PY, Traynor V, Chang HR, Liu IH, Lai YS, Lee HC, Rolls K, Chiu HY. Delirium assessment tools among hospitalized older adults: A systematic review and metaanalysis of diagnostic accuracy. Ageing Res Rev. 2023 Sep;90:102025.

Liu Y, Li Z, Li Y, Ge N, Yue J. Detecting delirium: a systematic review of ultrabrief identification instruments for hospital patients. Front Psychol. 2023 May 12;14:1166392.

Hou L, Zhang Q, Cao L, Chen M, Wang Q, Li Y, Li S, Ge L, Yang K. Diagnostic accuracy of the 4AT for delirium: A systematic review and meta-analysis. Asian J Psychiatr. 2023 Feb;80:103374.

Aldwikat RK, Manias E, Tomlinson E, Amin M, Nicholson P. Delirium screening tools in the post-anaesthetic care unit: a systematic review and meta-analysis. Aging Clin Exp Res. 2022 Jan 3.

Bridwell RE, April MD, Long B. Is the 4AT Score Accurate in Identifying Delirium in Older Adults? Ann Emerg Med. 2021 Jun;77(6):628-630.

Mansutti I, Saiani L, Palese A. Detecting delirium in patients with acute stroke: a systematic review of test accuracy. BMC Neurol. 2019;19(1):310. Published 2019 Dec 2.

Tieges Z, MacLullich AMJ, Anand A, Brookes C, Cassarino M, O'connor M, Ryan D, Saller T, Arora RC, Chang Y, Agarwal K, Taffet G, Quinn T, Shenkin SD, Galvin R. Diagnostic accuracy of the 4AT for delirium detection in older adults: systematic review and meta-analysis. Age Ageing. 2021 May 5;50(3):733-743.

Calf AH, Pouw MA, van Munster BC, Burgerhof JGM, de Rooij SE, Smidt N. Screening instruments for cognitive impairment in older patients in the Emergency Department: a systematic review and meta-analysis. Age Ageing. 2021 Jan 8;50(1):105-112.

Jeong E, Park J, Lee J. Diagnostic Test Accuracy of the 4AT for Delirium Detection: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2020 Oct 15;17(20):7515.

Mansutti I, Saiani L, Palese A. Detecting delirium in patients with acute stroke: a systematic review of test accuracy. BMC Neurol. 2019 Dec 2;19(1):310.