Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Nydahl, P; Liu, K; Bellelli, G; Benbenishty, J; van, den, Boogaard, M; Caplan, G; Chung, CR; Elhadi, M; Gurjar, M; Heras-La, Calle, G; Hoffmann, M; Jeitziner, MM; Krewulak, K; Mailhot, T; Morandi, A; Nawa, RK; Oh, ES; Collet, MO; Paulino, MC; Lindroth, H; von, Haken, R, , WDAD, Study, Group.
A world-wide study on delirium assessments and presence of protocols.
Age Ageing. 2024; 53(7):
Doi: 10.1093/ageing/afae129
Web of Science
PubMed
FullText
FullText_MUG
- Co-Autor*innen der Med Uni Graz
- Hoffmann Magdalena
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- Abstract:
- BACKGROUND: Delirium is a common complication of older people in hospitals, rehabilitation and long-term facilities. OBJECTIVE: To assess the worldwide use of validated delirium assessment tools and the presence of delirium management protocols. DESIGN: Secondary analysis of a worldwide one-day point prevalence study on World Delirium Awareness Day, 15 March 2023. SETTING: Cross-sectional online survey including hospitals, rehabilitation and long-term facilities. METHODS: Participating clinicians reported data on delirium, the presence of protocols, delirium assessments, delirium-awareness interventions, non-pharmacological and pharmacological interventions, and ward/unit-specific barriers. RESULTS: Data from 44 countries, 1664 wards/units and 36 048 patients were analysed. Validated delirium assessments were used in 66.7% (n = 1110) of wards/units, 18.6% (n = 310) used personal judgement or no assessment, and 10% (n = 166) used other assessment methods. A delirium management protocol was reported in 66.8% (n = 1094) of wards/units. The presence of protocols for delirium management varied across continents, ranging from 21.6% (on 21/97 wards/units) in Africa to 90.4% (235/260) in Australia, similar to the use of validated delirium assessments with 29.6% (29/98) in Africa to 93.5% (116/124) in North America. Wards/units with a delirium management protocol [n = 1094/1664, 66.8%] were more likely to use a validated delirium test than those without a protocol [odds ratio 6.97 (95% confidence interval 5.289-9.185)]. The presence of a delirium protocol increased the chances for valid delirium assessment and, likely, evidence-based interventions. CONCLUSION: Wards/units that reported the presence of delirium management protocols had a higher probability of using validated delirium assessments tools to assess for delirium.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- Delirium - diagnosis, epidemiology, therapy
- Cross-Sectional Studies - administration & dosage
- Clinical Protocols - administration & dosage
- Geriatric Assessment - methods
- Male - administration & dosage
- Global Health - administration & dosage
- Aged - administration & dosage
- Prevalence - administration & dosage
- Female - administration & dosage
- Find related publications in this database (Keywords)
- assessments
- delirium
- encephalopathy
- patient safety
- protocols
- quality improvement
- older people