Delirium prevalence and screening in the Danish healthcare system.

IF 1.2 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Danish medical journal Pub Date : 2025-09-09 DOI:10.61409/A01250038

Marie O Collet, Martin Shultz, Eva Laerkner, Charlotte Bjerg Sand Riis, Laura Krone Larsen, Kristine Mildahl Kjærgaard, Christina Emme, Iben Tousgaard, Bianca Bech, Anne-Dorte Krapper, Linette Thorn, Anne Højager Nielsen, Pernille Reck Miller, Camilla Grube Segers, Marie Damgaard Winther, Susanne Fischer, Sally Jakobsen, Tina Tang Fredenslund, Cecilie Fuglsbjerg, Helle Svenningsen

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引用次数: 0

Abstract

Introduction: Delirium is an acute and severe syndrome, commonly occurring in elderly hospitalised or terminal patients, causing cognitive and psychotic symptoms due to somatic illness or medication. This study aimed to investigate the prevalence of delirium across hospitals and nursing homes in Denmark.

Methods: This Danish cohort study, part of a global survey on March 15, 2023, examined delirium prevalence in hospitals and nursing homes. Data was collected on delirium screening practices, prevalence and staff experience.

Results: Of 69 recruited hospitals and nursing homes, 66 participated, and 63 provided complete data for analysis. Participants included 79.4% nurses and 14.3% researchers. Delirium prevalence was 13.6% at 8 a.m. (general ward 9.7%, intensive care unit (ICU) 29.7%, emergency department 40.0% and nursing home 8.9%) and 13.9% at 8 p.m. (general ward 12.0%, ICU 19.8%, emergency department 27.2% and nursing home 10.8%) on March 15, 2023. The Confusion Assessment Method (CAM) was used by 23.8% of participants, and the confusion-assessment method for the ICU (CAM-ICU) was used by 28.6% of participants and was the most frequently used screening tool.

Conclusions: On March 15, 2023, delirium prevalence in Denmark was 13.6% at 8 a.m. and 13.9% at 8 p.m. across 63 hospital departments and nursing homes. The CAM, brief CAM, and CAM-ICU were the most used assessment tools.

Funding: There was no funding allocated to this study.

Trial registration: The study was registered in the German Registry for Clinical Trials (DRKS00030002).

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丹麦卫生保健系统中谵妄的患病率和筛查。

谵妄是一种急性重症综合征，常见于老年住院患者或终末期患者，由躯体疾病或药物引起认知和精神症状。本研究旨在调查丹麦医院和疗养院谵妄的患病率。方法：这项丹麦队列研究是2023年3月15日全球调查的一部分，研究了医院和养老院谵妄的患病率。收集有关谵妄筛查做法、患病率和工作人员经验的数据。结果：69家医院和养老院中，66家参与其中，63家提供完整数据供分析。其中79.4%为护士，14.3%为研究人员。上午8时谵妄患病率为13.6%。（普通病房9.7%，重症监护病房（ICU） 29.7%，急诊科40.0%，疗养院8.9%），晚上8点13.9%。（普通病房12.0%,ICU 19.8%，急诊科27.2%，养老院10.8%）。23.8%的参与者使用混淆评估法（CAM）， 28.6%的参与者使用ICU混淆评估法（CAM-ICU），是最常用的筛查工具。结论：2023年3月15日，丹麦63个医院部门和疗养院的谵妄患病率在上午8点为13.6%，在晚上8点为13.9%。CAM、brief CAM和CAM- icu是最常用的评估工具。经费：本研究未获拨款。试验注册：该研究已在德国临床试验注册中心（DRKS00030002）注册。

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

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.