Epidemiology and assessments of delirium in nursing homes and rehabilitation facilities: a cross-country perspective.

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY

European Geriatric Medicine Pub Date : 2025-04-28 DOI:10.1007/s41999-025-01207-x

Alice M Ornago, Elena Pinardi, Maria Cristina Ferrara, Suzanne Timmons, Chukwuma Okoye, Alberto Finazzi, Paolo Mazzola, Peter Nydahl, Rebecca von Haken, Heidi Lindroth, Keibun Liu, Alessandro Morandi, Giuseppe Bellelli

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引用次数: 0

Abstract

Purpose: Delirium represents a significant healthcare challenge in long-term care settings. This study aims to investigate the epidemiology of delirium in long-term care facilities (LTCFs) across various countries, examining point prevalence and assessment methods.

Methods: This descriptive analysis included data from 94 surveys conducted in LTCFs on World Delirium Awareness Day (WDAD), March 15th, 2023. Group comparisons were made between rehabilitation facilities (RFs) and nursing homes (NHs).

Results: Of the participating units/wards, primarily from Europe and Australia, 65 were RFs and 29 were NHs. The overall reported delirium point prevalence was approximately 12%, with higher rates in RFs than in NHs. While most units/wards reported using a validated delirium detection tool, notable differences emerged in the frequency of assessments, the personnel conducting them, and delirium awareness interventions across settings.

Conclusion: Despite the well-documented impact of delirium on residents, the international variability in clinical practices within LTCFs highlights the current inadequacy in adopting effective and consistent strategies to address this condition.

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疗养院和康复设施中谵妄的流行病学和评估：一个跨国家的视角。

目的：谵妄是长期护理环境中一个重要的医疗挑战。本研究旨在调查各国长期护理机构（ltcf）中谵妄的流行病学，检查点患病率和评估方法。方法：本描述性分析纳入了2023年3月15日世界谵妄意识日（WDAD）在ltcf中进行的94项调查的数据。在康复设施（RFs）和疗养院（NHs）之间进行组比较。结果：在主要来自欧洲和澳大利亚的参与单位/病房中，65个是RFs， 29个是NHs。总体报告的谵妄点患病率约为12%，RFs患者的患病率高于NHs患者。虽然大多数单位/病房报告使用了经过验证的谵妄检测工具，但在评估频率、进行评估的人员和谵妄意识干预方面出现了显著差异。结论：尽管谵妄对住院患者的影响有充分的文献记载，但ltcf临床实践的国际差异突出了目前在采取有效和一致的策略来解决这一问题方面的不足。

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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来源期刊

European Geriatric Medicine GERIATRICS & GERONTOLOGY-

CiteScore

6.70

自引率

2.60%

发文量

114

审稿时长

6-12 weeks

期刊介绍： European Geriatric Medicine is the official journal of the European Geriatric Medicine Society (EUGMS). Launched in 2010, this journal aims to publish the highest quality material, both scientific and clinical, on all aspects of Geriatric Medicine. The EUGMS is interested in the promotion of Geriatric Medicine in any setting (acute or subacute care, rehabilitation, nursing homes, primary care, fall clinics, ambulatory assessment, dementia clinics..), and also in functionality in old age, comprehensive geriatric assessment, geriatric syndromes, geriatric education, old age psychiatry, models of geriatric care in health services, and quality assurance.