A world-wide study on delirium assessments and presence of protocols
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A world-wide study on delirium assessments and presence of protocols. / Nydahl, Peter; Liu, Keibun; Bellelli, Giuseppe; Benbenishty, Julie; van den Boogaard, Mark; Caplan, Gideon; Chung, Chi Ryang; Elhadi, Muhammed; Gurjar, Mohan; Heras-La Calle, Gabi; Hoffmann, Magdalena; Jeitziner, Marie Madlen; Krewulak, Karla; Mailhot, Tanya; Morandi, Alessandro; Nawa, Ricardo Kenji; Oh, Esther S.; Collet, Marie O.; Paulino, Maria Carolina; Lindroth, Heidi; von Haken, Rebecca; WDAD Study Group.
In: Age and Ageing, Vol. 53, No. 7, afae129, 2024.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - A world-wide study on delirium assessments and presence of protocols
AU - Nydahl, Peter
AU - Liu, Keibun
AU - Bellelli, Giuseppe
AU - Benbenishty, Julie
AU - van den Boogaard, Mark
AU - Caplan, Gideon
AU - Chung, Chi Ryang
AU - Elhadi, Muhammed
AU - Gurjar, Mohan
AU - Heras-La Calle, Gabi
AU - Hoffmann, Magdalena
AU - Jeitziner, Marie Madlen
AU - Krewulak, Karla
AU - Mailhot, Tanya
AU - Morandi, Alessandro
AU - Nawa, Ricardo Kenji
AU - Oh, Esther S.
AU - Collet, Marie O.
AU - Paulino, Maria Carolina
AU - Lindroth, Heidi
AU - von Haken, Rebecca
AU - WDAD Study Group
N1 - Publisher Copyright: © The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.
PY - 2024
Y1 - 2024
N2 - 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.
AB - 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.
KW - assessments
KW - delirium
KW - encephalopathy
KW - older people
KW - patient safety
KW - protocols
KW - quality improvement
U2 - 10.1093/ageing/afae129
DO - 10.1093/ageing/afae129
M3 - Journal article
C2 - 38952186
AN - SCOPUS:85197676110
VL - 53
JO - Age and Ageing
JF - Age and Ageing
SN - 0002-0729
IS - 7
M1 - afae129
ER -
ID: 398465352