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

• Verfasst von: Nydahl, Peter [VerfasserIn]
• Verfasst von: Liu, Keibun [VerfasserIn]
• Verfasst von: Bellelli, Giuseppe [VerfasserIn]
• Verfasst von: Benbenishty, Julie [VerfasserIn]
• Verfasst von: van den Boogaard, Mark [VerfasserIn]
• Verfasst von: Caplan, Gideon [VerfasserIn]
• Verfasst von: Chung, Chi Ryang [VerfasserIn]
• Verfasst von: Elhadi, Muhammed [VerfasserIn]
• Verfasst von: Gurjar, Mohan [VerfasserIn]
• Verfasst von: Heras-La Calle, Gabi [VerfasserIn]
• Verfasst von: Hoffmann, Magdalena [VerfasserIn]
• Verfasst von: Jeitziner, Marie-Madlen [VerfasserIn]
• Verfasst von: Krewulak, Karla [VerfasserIn]
• Verfasst von: Mailhot, Tanya [VerfasserIn]
• Verfasst von: Morandi, Alessandro [VerfasserIn]
• Verfasst von: Nawa, Ricardo Kenji [VerfasserIn]
• Verfasst von: Oh, Esther S [VerfasserIn]
• Verfasst von: Collet, Marie O [VerfasserIn]
• Verfasst von: Paulino, Maria Carolina [VerfasserIn]
• Verfasst von: Lindroth, Heidi [VerfasserIn]
• Verfasst von: Haken, Rebecca von [VerfasserIn]
• Titel: A world-wide study on delirium assessments and presence of protocols
• Verf.angabe: 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
• E-Jahr: 2024
• Jahr: July 2024
• Umfang: 9 S.
• Illustrationen: Illustrationen
• Fussnoten: Online veröffentlicht: 2. Juli 2024 ; Gesehen am 06.02.2025
• Titel Quelle: Enthalten in: Age & ageing
• Ort Quelle: Oxford : Oxford Univ. Press, 1972
• Jahr Quelle: 2024
• Band/Heft Quelle: 53(2024), 7, Artikel-ID afae129, Seite 1-9
• ISSN Quelle: 1468-2834
• DOI: doi:10.1093/ageing/afae129
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 191656822X

Abstract

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.