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

作者：Peter Nydahl, Keibun Liu, Giuseppe Bellelli, Julie Benbenishty, Mark van den Boogaard, Gideon A. Caplan, Chi Ryang Chung, Muhammed Elhadi, Mohan Gurjar, Gabi Heras-La Calle, Magdalena M. Hoffmann, Marie‐Madlen Jeitziner, Karla D. Krewulak, Tanya Mailhot, Alessandro Morandi, Ricardo Kenji Nawa, Esther S. Oh, Marie Oxenbøll Collet, Maria Carolina Paulino, Heidi L. Lindroth, Rebecca von Haken, the WDAD Study Group, Ahmed Gaber Ahmed Abdalgany, Sarah Magdy Abdelmohsen, Amjad Aburaas, Christina Aggar, Bashir Abobaker Albakosh, Hamza Ismail Ahmad Alhamdan, Akram Waled Rajab M Aljbali, Fareeda Al-Kandari, Akram Mohammed Alkaseek, Daniel Anders, Marsali Anderson, Shelly Ashkenazy, Thiago Avelino, Kasia Siobhan Bail, Ashraf Bakri, Alaa Mohamed Ali Baroum, Bronagh Blackwood, Jennifer Brendt-Müller, Angelika Brobeil, Richard D Burke, Tru Byrnes, Stefano Cacciatore, Maria Cahill, Maria Ana Canelas, Ida Carroll, Amy Conley, Maria M. Costello, Shannon A. Cotton, Mandy Couser, A. Salgado, Elizabeth Cusworth, Vera Cvoro, Jordanna Deosaran, Merel Diebels, Elaine A Docherty, Vera von Dossow, Megan Drennan, Akram Amin Egdeer, Patrick Eichelsheim, Aissha Ali Saleh Elagili, Saifaleslam Jamal Elsahl, Hajer Alsadeg Mohammed Elshaikh, Christina Emme, Matthias Thomas Exl, Azza Fathi, Melanie Feige, Kirsten Marie Fiest, Marleta Irene Joy Fong, Mikita Fuchita, Carol Gaffney, Carola Giménez-Esparza Vich, Nicole Feldmann, Rachel Fitzgerald, Neasa Fitzpatrick, Marleta Irene Joy Fong, María Adela Goldberg, Nienke M. S. Golüke, Marinette van der Graaf, Engelina Groenewald, Renate Gross, Camilla Grube Segers, Renate Hadi, Qusai Ahmad Hasan Hamdan, Bahaeddin Ben Hamida, Monalyce Hamza, Breanna D. Hetland, Jane Hopkins, John Hopkins, Said A. Ibrahim, Guglielmo Imbrìaco, Shigeaki Inoue, Arveen Jeyaseelan, Ali Jawad Kadhim, Sabrina Kohler, Rens W. J. Kooken, Anna Korompeli, Lars Krüger, Ayman Salim Abu Khutwah, Puck Lange, Sharon Liefrink, Yu‐Min Lin, Shi Pei Loo, Sara Beatriz Lopes Rodrigues, Allan S. MacDonald, Gillian Madders, Claudia Massaro, Kerri Maya, Sofia Manioudaki, Natalie Susan McAndrew, Stewart McKenna, Isabel Maria Metelo Coimbra, Teresa Miranda, Mohamed A. Mohamed, Mushin Mohammed Elhadi Agbna Mohammed, Malissa Mulkey, Fariha Naeem, Kensuke Nakamura, Mi-Ryeo Nam, Elaine Newman, Renae Nicol, Claire Noonan, Maria Inês Lopes, Zina Otmani, Cynthia Olotu, Alice Margherita Ornago, Susan O’Reilly, Valerie Ozorio, Jessica Palakashappa, Tej Pandya, Panagiota Papadea, Metaxia N. Papanikolaou, Rose Penfold, Elena Pinardi, Inês Filipa Pinto Pereira, Chirantha Premathilaka, Monica Pop‐Purceleanu, Marlene Puchegger, Nouralddeen Mohammed Qalhoud, Terence J. Quinn, Maike Raasing, Dalia Talaat Ragheb, Prasad Anant Rajhans, Nuri Ramadan, Mushabbir Hossain Rubel, Kate Sainsbury, Francesco Salis, Florian Schimböck, Roman Schmädig, Yvonne Schoon, Deepak Sethia, Edith Sextl, Bhagyesh Shah, Dua’a Shaout, Alaa Fouad Sharabi, Lynn Shields, Kendall A. Smith, Linda Smulders-van Dam, Roy Louis Soiza, Andrea Spiegler, Lucy Stocks, Stefan Sumerauer, Stephanie Tam, Aik Haw Tan, Suzanne Timmons, Peter Tohsche, Raquel Gouveia Torres, Chantal Toth, Vasiliki Tsolaki, Iben Tousgaard, Roberta Esteves Vieira de Castro, Birgit Vogt, Erica M. Walsh, Kristel Ward‐Stockham, Melinda Webb‐St Mart, Franziska Wefer, Mariajne Elisabeth Wijnen-Meijer, Hilde Wøien, Inke Zastrow, Maria Beatrice Zazzara · 发表于：Age and Ageing · 年份：2024 · DOI：10.1093/ageing/afae129 · 被引用次数：27 · 研究领域：Intensive Care Unit Cognitive Disorders、Frailty in Older Adults、Pharmaceutical Practices and Patient Outcomes

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...