dc.contributor
Institut Català de la Salut
dc.contributor
[Faherty M, Curtin C] Centre for Gerontology and Rehabilitation, University College Cork, Cork, Ireland. [Bellelli G] School of Medicina and Surgery, University of Milano-Bicocca and Acute Geriatric Unit, IRCCS Foundation “San Gerardo Dei Tintori”, Monza, Italy. [Brunetti E] Section of Geriatrics, Department of Medical Sciences, University Hospital Città della Salute e della Scienza, Molinette, Turin, Italy. Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy. [Bo M] Section of Geriatrics, Department of Medical Sciences, University Hospital Città della Salute e della Scienza, Molinette, Turin, Italy. [Morandi A] Department of Clinical and Experimental Science, University of Brescia, Brescia, Italy. Azienda Speciale Cremona Solidale, Cremona, Italy. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain
dc.contributor
Vall d'Hebron Barcelona Hospital Campus
dc.contributor.author
Curtin, Catriona
dc.contributor.author
Bo, Mario
dc.contributor.author
Faherty, Mary
dc.contributor.author
Bellelli, Giuseppe
dc.contributor.author
Brunetti, Enrico
dc.contributor.author
Morandi, Alessandro
dc.date.accessioned
2025-11-13T19:23:01Z
dc.date.available
2025-11-13T19:23:01Z
dc.date.issued
2025-11-10T07:46:53Z
dc.date.issued
2025-11-10T07:46:53Z
dc.identifier
Faherty M, Curtin C, Bellelli G, Brunetti E, Bo M, Morandi A, et al. The perceptions of European geriatricians on the co-occurrence and links between dementia, delirium and frailty. Eur Geriatr Med. 2025 Jun;16(3):839-849.
dc.identifier
http://hdl.handle.net/11351/14047
dc.identifier
10.1007/s41999-025-01173-4
dc.identifier
001444974600001
dc.identifier.uri
http://hdl.handle.net/11351/14047
dc.description.abstract
Attitudes; Delirium; Dementia
dc.description.abstract
Actitudes; Delirio; Demencia
dc.description.abstract
Actituds; Deliri; Demència
dc.description.abstract
Purpose
This study aimed to explore the perceptions of geriatricians and experienced geriatric trainees in Europe of the complex relationship between dementia, delirium and frailty, including their relative prevalence, overlaps and causality.
Methods
An online anonymous survey was administered across 30 European countries, via the mailing list of the European Geriatric Medicine Society (EuGMS), national member groups and the authors’ professional networks. Questions were framed in the context of recently hospitalised 80-year-old patients.
Results
Within the 440 included surveys, respondents particularly over-estimated frailty prevalence in older hospitalised patients, with two-thirds choosing between 41 and 80% prevalence, when the literature suggests only 23–46%, but paradoxically underestimated the frequency of frailty in people with delirium (more than three quarters of responses across 21–80%; literature suggests 71–93%). Severe dementia and previous delirium were correctly considered the strongest risks for future inpatient delirium. However, many considered pre-frailty a moderate (44%) or even strong (19%) risk for future delirium, while a minority considered severe dementia a low risk. Respondents viewed delirium superimposed on dementia (DSD) as having the strongest influence on in-hospital mortality and discharge to residential care, dementia as having the strongest influence on future residential care admission, and frailty as the condition most strongly influencing future mortality.
Conclusion
Geriatricians and experienced geriatric trainees across Europe gave varied responses to questions about delirium, dementia and frailty prevalence, co-occurrence and consequences. This indicates a need for the performance and wide dissemination of robust, prospective research examining all three conditions in older hospital cohorts. We suggest a merging of selective delirium-frailty and dementia-delirium interests to the dementia-delirium-frailty triumvirate.
dc.description.abstract
Open Access funding provided by the IReL Consortium.
dc.format
application/pdf
dc.relation
European Geriatric Medicine;16
dc.relation
https://doi.org/10.1007/s41999-025-01173-4
dc.rights
Attribution 4.0 International
dc.rights
http://creativecommons.org/licenses/by/4.0/
dc.rights
info:eu-repo/semantics/openAccess
dc.subject
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Data Collection::Surveys and Questionnaires
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NAMED GROUPS::Persons::Occupational Groups::Health Personnel::Physicians::Geriatricians
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DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Frailty
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DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Dementia
dc.subject
DISEASES::Nervous System Diseases::Neurologic Manifestations::Neurobehavioral Manifestations::Confusion::Delirium
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::recopilación de datos::encuestas y cuestionarios
dc.subject
DENOMINACIONES DE GRUPOS::personas::grupos profesionales::personal sanitario::médicos::geriatras
dc.subject
ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::fragilidad
dc.subject
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::demencia
dc.subject
ENFERMEDADES::enfermedades del sistema nervioso::manifestaciones neurológicas::manifestaciones neuroconductuales::confusión::delirio confusional
dc.title
The perceptions of European geriatricians on the co-occurrence and links between dementia, delirium and frailty
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion
