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A world-wide study on delirium assessments and presence of protocols

Delirium is a common complication of older people in hospitals, rehabilitation and long-term facilities.To assess the worldwide use of validated delirium assessment tools and the presence of delirium management protocols.Secondary analysis of a worldwide one-day point prevalence study on World Delir...

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Main Authors: Nydahl, Peter (Author) , Liu, Keibun (Author) , Bellelli, Giuseppe (Author) , Benbenishty, Julie (Author) , van den Boogaard, Mark (Author) , Caplan, Gideon (Author) , Chung, Chi Ryang (Author) , Elhadi, Muhammed (Author) , Gurjar, Mohan (Author) , Heras-La Calle, Gabi (Author) , Hoffmann, Magdalena (Author) , Jeitziner, Marie-Madlen (Author) , Krewulak, Karla (Author) , Mailhot, Tanya (Author) , Morandi, Alessandro (Author) , Nawa, Ricardo Kenji (Author) , Oh, Esther S (Author) , Collet, Marie O (Author) , Paulino, Maria Carolina (Author) , Lindroth, Heidi (Author) , Haken, Rebecca von (Author)
Format: Article (Journal)
Language:English
Published: July 2024
In: Age & ageing
Year: 2024, Volume: 53, Issue: 7, Pages: 1-9
ISSN:1468-2834
DOI:10.1093/ageing/afae129
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/ageing/afae129
Verlag, lizenzpflichtig, Volltext: https://academic.oup.com/ageing/article/53/7/afae129/7702344
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Author Notes:Peter Nydahl, Keibun Liu, Giuseppe Bellelli, Julie Benbenishty, Mark van den Boogaard, Gideon Caplan, Chi Ryang Chung, Muhammed Elhadi, Mohan Gurjar, Gabi Heras-La Calle, Magdalena Hoffmann, Marie-Madlen Jeitziner, Karla Krewulak, Tanya Mailhot, Alessandro Morandi, Ricardo Kenji Nawa, Esther S Oh, Marie O Collet, Maria Carolina Paulino, Heidi Lindroth, Rebecca von Haken, the WDAD Study Group
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Summary:Delirium is a common complication of older people in hospitals, rehabilitation and long-term facilities.To assess the worldwide use of validated delirium assessment tools and the presence of delirium management protocols.Secondary analysis of a worldwide one-day point prevalence study on World Delirium Awareness Day, 15 March 2023.Cross-sectional online survey including hospitals, rehabilitation and long-term facilities.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.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.Wards/units that reported the presence of delirium management protocols had a higher probability of using validated delirium assessments tools to assess for delirium.
Item Description:Online veröffentlicht: 2. Juli 2024
Gesehen am 06.02.2025
Physical Description:Online Resource
ISSN:1468-2834
DOI:10.1093/ageing/afae129

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