Delirium assessment, management and barriers to effective care across Scotland: A secondary analysis of survey data from World Delirium Awareness Day 2023.

Autor:	Naeem F; School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK., Penfold RS; Advanced Care Research Centre, University of Edinburgh & Ageing and Health, Usher Institute, University of Edinburgh, Edinburgh, UK., Soiza RL; Ageing Clinical & Experimental Research Group, University of Aberdeen, Aberdeen, UK., Von Haken R; Department of Anesthesiology, University Hospital Mannheim, Mannheim, Baden-Württemberg, Germany., Lindroth H; Division of Nursing Research, Department of Nursing, Mayo Clinic, Rochester, MN, USA.; Center for Aging Research, Regenstrief Institute, School of Medicine, Indiana University, Indianapolis, IN, USA., Liu K; Non-Profit Organization ICU Collaboration Network (ICON), Mitaka, Tokyo, Japan., Nydhal P; Nursing Research, University Hospital Schleswig-Holstein, Kiel, Schleswig-Holstein, Germany.; Institute of Nursing Science and Development, Paracelsus Medical University, Salzburg, Austria., Quinn TJ; School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
Jazyk:	angličtina
Zdroj:	The journal of the Royal College of Physicians of Edinburgh [J R Coll Physicians Edinb] 2024 Nov 29, pp. 14782715241301486. Date of Electronic Publication: 2024 Nov 29.
DOI:	10.1177/14782715241301486
Abstrakt:	Introduction: Delirium is a common, severe neuropsychiatric syndrome in hospitalised older adults. We evaluated use of validated delirium assessment tools, adherence to national guidelines and prevalence and management of delirium across Scotland, identifying barriers to effective care. Methods: Secondary analysis of national survey data, collected by participating clinicians on World Delirium Awareness Day (15 March 2023). Results: Among 120 responses (3,257 patients), the 4AT was the most frequently used assessment tool (75%), while 14% of units reported using clinical judgement alone. The delirium assessment rate was 74%, with a prevalence of 22% at 8 am. Management protocols varied, with frequent routine non-pharmacological interventions including pain management (88%), hydration (87%) and open family visiting (80%). Barriers to delirium care included insufficient staffing and training. Conclusion: While many hospital settings follow national delirium guidelines, some still rely on clinical judgement for assessment, with variability in management protocols and practices. We have highlighted key barriers to effective delirium care in Scotland. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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