Clinical guidelines and strategic plan for the prevention, diagnosis and treatment of delirium: The zero delirium project.

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-05-16 DOI:10.1016/j.redare.2025.501805

O de la Varga-Martínez, R Badenes, C Gordaliza, S de Miguel Manso, G E Landázuri Castillo, C Armenteros Aragon, M Fernández Castro, A B Martin Santos, R Lopez Herrero, R Navarro Pérez, A Abad Gurumeta, M Varela Duran, M Heredia Rodriguez, E Tamayo Gómez

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Abstract

The aim of this clinical practice guideline is to provide a rationale for the implementation of the Zero Delirium Project (ZDP) - a series of recommendations for patients in special critical care units (SCCU). The recommendations were developed by a group of anaesthesiologists from around Spain, and were reviewed by the Scientific Committee of the Spanish Society of Anaesthesiology, Resuscitation and Pain Therapy. Delirium is an acute, fluctuating, multifactorial syndrome characterised by inattention, disorganised thinking, and an altered level of consciousness. It may affect up to 56% in patients during their stay in critical care, and is important because many SCCUs have not yet introduced routine delirium screening, treatment and prevention strategies. Staff that are able to recognise and diagnose delirium can prevent it, treat it and reduce its incidence, which in turn reduces morbidity, mortality and costs. The ZDP was created with this aim in mind.

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谵妄预防、诊断和治疗的临床指南和战略计划：零谵妄项目。

本临床实践指南的目的是为零谵妄项目（ZDP）的实施提供一个基本原理-对特殊重症监护病房（SCCU）患者的一系列建议。这些建议是由一组来自西班牙各地的麻醉师提出的，并由西班牙麻醉、复苏和疼痛治疗学会科学委员会进行了审查。谵妄是一种急性的、波动的、多因素的综合征，以注意力不集中、思维混乱和意识水平改变为特征。在重症监护期间，它可能影响高达56%的患者，这一点很重要，因为许多sccu尚未引入常规的谵妄筛查、治疗和预防策略。能够识别和诊断谵妄的工作人员可以预防、治疗谵妄并减少其发病率，从而降低发病率、死亡率和成本。ZDP是在这个目标下创建的。

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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Revista espanola de anestesiologia y reanimacion

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