The Delphi Delirium Management Algorithms. A practical tool for clinicians, the result of a modified Delphi expert consensus approach.

Delirium (Bielefeld, Germany) Pub Date : 2024-01-01 Epub Date: 2024-01-12 DOI:10.56392/001c.90652

Thomas H Ottens, Carsten Hermes, Valerie Page, Mark Oldham, Rakesh Arora, O Joseph Bienvenu, Mark van den Boogaard, Gideon Caplan, John W Devlin, Michaela-Elena Friedrich, Willem A van Gool, James Hanison, Hans-Christian Hansen, Sharon K Inouye, Barbara Kamholz, Katarzyna Kotfis, Matthew B Maas, Alasdair M J MacLullich, Edward R Marcantonio, Alessandro Morandi, Barbara C van Munster, Ursula Müller-Werdan, Alessandra Negro, Karin J Neufeld, Peter Nydahl, Esther S Oh, Pratik Pandharipande, Finn M Radtke, Sylvie De Raedt, Lisa J Rosenthal, Robert Sanders, Claudia D Spies, Emma R L C Vardy, Eelco F Wijdicks, Arjen J C Slooter

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Abstract

Delirium is common in hospitalised patients, and there is currently no specific treatment. Identifying and treating underlying somatic causes of delirium is the first priority once delirium is diagnosed. Several international guidelines provide clinicians with an evidence-based approach to screening, diagnosis and symptomatic treatment. However, current guidelines do not offer a structured approach to identification of underlying causes. A panel of 37 internationally recognised delirium experts from diverse medical backgrounds worked together in a modified Delphi approach via an online platform. Consensus was reached after five voting rounds. The final product of this project is a set of three delirium management algorithms (the Delirium Delphi Algorithms), one for ward patients, one for patients after cardiac surgery and one for patients in the intensive care unit.

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德尔菲谵妄管理算法。临床医生的实用工具，是修改后的德尔菲专家共识法的成果。

谵妄在住院病人中很常见，目前还没有专门的治疗方法。一旦确诊谵妄，首要任务是找出并治疗导致谵妄的潜在躯体病因。一些国际指南为临床医生提供了筛查、诊断和对症治疗的循证方法。然而，目前的指南并没有提供识别潜在病因的结构化方法。由 37 位来自不同医学背景的国际知名谵妄专家组成的专家小组通过在线平台，采用改良的德尔菲法共同开展工作。经过五轮投票，最终达成共识。该项目的最终成果是三套谵妄管理算法（谵妄德尔菲算法），一套适用于病房患者，一套适用于心脏手术后患者，一套适用于重症监护室患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Delirium (Bielefeld, Germany)

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