Academic Journal
A world-wide study on delirium assessments and presence of protocols
| العنوان: | A world-wide study on delirium assessments and presence of protocols |
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| المؤلفون: | Nydahl P., Liu K., Bellelli G., Benbenishty J., Van Den Boogaard M., Caplan G., Chung C. R., Elhadi M., Gurjar M., Heras-La Calle G., Hoffmann M., Jeitziner M. M., Krewulak K., Mailhot T., Morandi A., Nawa R. K., Oh E. S., Collet M. O., Paulino M. C., Lindroth H., Von Haken R. |
| المساهمون: | Nydahl, P, Liu, K, Bellelli, G, Benbenishty, J, Van Den Boogaard, M, Caplan, G, Chung, C, Elhadi, M, Gurjar, M, Heras-La Calle, G, Hoffmann, M, Jeitziner, M, Krewulak, K, Mailhot, T, Morandi, A, Nawa, R, Oh, E, Collet, M, Paulino, M, Lindroth, H, Von Haken, R |
| بيانات النشر: | GB Oxford University Press |
| سنة النشر: | 2024 |
| المجموعة: | Università degli Studi di Milano-Bicocca: BOA (Bicocca Open Archive) |
| مصطلحات موضوعية: | assessment, delirium, encephalopathy, older people, patient safety, protocol, quality improvement |
| الوصف: | 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. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | STAMPA |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/38952186; info:eu-repo/semantics/altIdentifier/wos/WOS:001260318000001; volume:53; issue:7; journal:AGE AND AGEING; https://hdl.handle.net/10281/497419; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85197676110 |
| DOI: | 10.1093/ageing/afae129 |
| الاتاحة: | https://hdl.handle.net/10281/497419 https://doi.org/10.1093/ageing/afae129 |
| Rights: | info:eu-repo/semantics/closedAccess |
| رقم الانضمام: | edsbas.2442AB18 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/ageing/afae129 |
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