Sistema de Salut de Catalunya
Institut Català de la Salut
[Lindroth H] Department of Nursing, Division of Nursing Research, Mayo Clinic, Rochester, MN, USA. Center for Aging Research, Regenstrief Institute, Center for Health Innovation and Implementation Science, School of Medicine, Indiana University, Indianapolis, IN, USA. [Liu K] Critical Care Research Group, The Prince Charles Hospital, Brisbane, Australia. Institute for Molecular Bioscience (IMB), The University of Queensland, Brisbane, Queensland, Australia. Non-Profit Organization ICU Collaboration Network (ICON), Tokyo, Japan. [Szalacha L] Department of Nursing, Division of Nursing Research, Mayo Clinic, Rochester, MN, USA. Family Medicine and Spor ts Medicine, University of South Florida, Morsani College of Medicine, USF Health, Tampa, FL, USA. Family Medicine and Spor ts Medicine, University of South Florida, Morsani College of Medicine, USF Health, Tampa, FL, USA. [Ashkenazy S] General ICU, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. [Bellelli G] School of Medicine and Surgery, Milano-Bicocca University, Milan, Italy. Acute Geriatric Unit, IRCCS San Gerardo Foundation, Monza, Italy. [van den Boogaard M] Depar tment Intensive Care, Radboud University Medica Center, Nijmegen, the Netherlands. [Morandi A] Intermediate Care and Rehabilitation, Azienda Speciale Cremona Solidale, Cremona, Italy. Parc Sanitari Per Virgili, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
2025-03-07T12:06:02Z
2025-03-07T12:06:02Z
2024-11
Delivery of health care; Global delirium prevalence; Older people
Prestación de servicios de salud; Prevalencia mundial del delirio; Personas mayores
Prestació d'atenció sanitària; Prevalença mundial del deliri; Gent gran
Background: Delirium, an acute brain dysfunction, is proposed to be highly prevalent in clinical care and shown to significantly increase the risk of mortality and dementia. Objectives: To report on the global prevalence of clinically documented delirium and delirium-related clinical practices in wards caring for paediatric and adult patients in healthcare facilities. Design: A prospective, cross-sectional, 39-question survey completed on World Delirium Awareness Day, 15 March 2023. Participants: Clinicians or researchers with access to clinical data. Main outcome and measure: The primary outcome was the prevalence of clinically documented delirium at 8:00 a.m. (4 h) and 8:00 p.m. (±4 h). Secondary outcomes included delirium-related care practices and barriers to use. Descriptive statistics were calculated and multilevel modelling was completed. Results: 1664 wards submitted surveys from 44 countries, reporting on delirium assessments at 8:00 a.m. (n = 36 048) and 8:00 p.m. (n = 32 867); 61% reported use of validated delirium assessment tools. At 8:00 a.m., 18% (n = 2788/15 458) and at 8:00 p.m., 17.7% (n = 2454/13 860) were delirium positive. Top prevention measures were pain management (86.7%), mobilisation (81.4%) and adequate fluids (80.4%). Frequently reported pharmacologic interventions were benzodiazepines (52.7%) and haloperidol (46.2%). Top barriers included the shortage of staff (54.3%), lack of time to educate staff (48.6%) and missing knowledge about delirium (38%). Conclusion and relevance: In this study, approximately one out of five patients were reported as delirious. The reported high use of benzodiazepines needs further evaluation as it is not aligned with best-practice recommendations. Findings provide a benchmark for future quality improvement projects and research.
Article
Published version
English
Persones grans; Enquestes; Salut mundial; Deliri - Diagnòstic; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Data Collection::Vital Statistics::Morbidity::Prevalence; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Data Collection::Surveys and Questionnaires; DISEASES::Nervous System Diseases::Neurologic Manifestations::Neurobehavioral Manifestations::Confusion::Delirium; PUBLIC HEALTH::Health Care (Public Health)::Health of Specific Groups::Global Health; NAMED GROUPS::Persons::Age Groups::Adult::Aged; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::recopilación de datos::estadísticas vitales::morbilidad::prevalencia; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::recopilación de datos::encuestas y cuestionarios; ENFERMEDADES::enfermedades del sistema nervioso::manifestaciones neurológicas::manifestaciones neuroconductuales::confusión::delirio confusional; SALUD PÚBLICA::atención a la salud (salud pública)::salud de grupos específicos::salud global; DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano
Oxford University Press
Age and Ageing;53(11)
https://doi.org/10.1093/ageing/afae248
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
Articles científics - VHIR [1655]
