European Geriatric Medicine最新文献

{"title":"Comparing three approaches to delirium identification in older patients presenting to the emergency department.","authors":"Maaike A Pouw, Eline G Haan, Carolien J Jansen, Monika Trzpis, Barbara C van Munster","doi":"10.1007/s41999-026-01612-w","DOIUrl":"https://doi.org/10.1007/s41999-026-01612-w","url":null,"abstract":"<p><strong>Introduction: </strong>Early identification of hospitalised patients with or at risk for delirium is important to treat patients adequately. The aim of this study is to compare three approaches to delirium identification for identifying patients being at risk for or with a delirium during hospitalisation in a cohort of older patients presenting to the emergency department, including retrospectively extracted indicators of delirium based on prehospital care notes, by risk assessment (VMS), and screening instrument (4AT).</p><p><strong>Methods: </strong>A single-centre cohort study was conducted with the use of data from patients 70 years and older from Acutelines, a hospital-based biobank. extended with extraction of documented prehospital indicators based on prehospital care notes and a hospital chart-based review as a reference standard to determine whether patients experienced delirium during hospitalisation. We compared the different approaches by calculating standard performance measures (e.g. sensitivity, specificity, and predictive values).</p><p><strong>Results: </strong>Data of 655 patients were included. Median age was 76 years, and 407 (62%) were male. During hospitalisation, 146 patients (22%) were identified as having a delirium. The positive likelihood ratios were 5.54 for the documented prehospital indicators, 1.55 for the VMS risk assessment, and 2.39 for the 4AT screening.</p><p><strong>Conclusion: </strong>All three approaches, the documented prehospital indicators, the VMS risk assessment, and 4AT screening, are associated with delirium during hospitalisation. The documented prehospital indicators could be of added value, and we see this as a starting point for research into how the prehospital information could be used in the acute care pathway for older patients with or at risk for delirium.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interaction between mental health conditions and hip fracture on the 30-day risk of infection among older adults: a Danish matched cohort study.","authors":"Line Jakobsen Moestrup, Rikke Sommer Haaber, Simon Storgaard Jensen, Christina Vandenbroucke-Grauls, Alma Becic Pedersen","doi":"10.1007/s41999-026-01623-7","DOIUrl":"https://doi.org/10.1007/s41999-026-01623-7","url":null,"abstract":"<p><strong>Purpose: </strong>Infections are a frequent complication following hip fracture (HF) surgery. Although approximately 30% of patients undergoing HF surgery have a mental health condition, its potential interaction on the risk of post-operative infection remains uncertain.</p><p><strong>Methods: </strong>Using Danish nationwide registries, we included a cohort of patients with HF aged ≥ 65 years operated during 2004-21 (n=100 335) and an age- and sex-matched comparison cohort from the general population without HF at the index date (n=498 943). Mental health conditions were identified using diagnosis codes F00-F48. Outcomes were hospital-treated infections (H-TIs) and hospital- or community-treated infections (HC-TIs) within 30 days after surgery. Cumulative incidence with 95% confidence intervals (CI) was estimated with death as competing risk. Interaction was assessed on an absolute and relative scale.</p><p><strong>Results: </strong>The highest incidence of H-TIs was observed among patients with HF and mood disorders (18.1%, 95% CI: 17.3-19.0) and comparators with anxiety disorders (2%, 95% CI: 1.8-2.5). Among patients with HF, the highest incidence of HC-TIs was in those with dementia (43.0%, 95% CI: 42.2-43.9). Likewise, comparators with dementia had the highest incidence of HC-TIs (18.4%, 95% CI: 17.9-18.8). Across mental health condition categories, attributable fractions ranged from 1.1% to 32.3% for H-TIs and 10.8%-19.7% for HC-TIs. The strongest synergistic effect was observed in patients with psychoactive substance use for both H-TIs and HC-TIs.</p><p><strong>Conclusions: </strong>Patients with HF and mental health conditions are at higher risk of infection than comparators. Mental health conditions and HF interact synergistically, which increases the infection risk by more than 30%, highlighting the need for targeted treatment for patients with HF and mental health conditions.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative care in older adults: a narrative review.","authors":"W Szczeklik, P Pasieka, K Piotrowicz, A Włudarczyk","doi":"10.1007/s41999-026-01617-5","DOIUrl":"https://doi.org/10.1007/s41999-026-01617-5","url":null,"abstract":"<p><strong>Purpose: </strong>The perioperative care of older patients is challenging due to clinical complexity. In this narrative review, we summarized the most important aspects of perioperative care of very old adults.</p><p><strong>Methods: </strong>We performed a non-systematic narrative review of available studies to summarize evidence to support best clinical practice in perioperative care of very old patients. When appropriate, evidence was supplemented with data from broader population of older adults.</p><p><strong>Results: </strong>The preoperative assessment should take into consideration comorbidities and cardiac risk as well as geriatric syndromes, including cognitive decline, sarcopenia, frailty, and malnutrition. Identification of geriatric syndromes should prompt intervention or involvement of an interdisciplinary team. In the perioperative period, caution regarding medication is advised due to frequent polypharmacy and altered pharmacodynamics of drugs. Perioperative delirium should be prevented and adequately managed. Due to a significant risk of postoperative functional decline, rehabilitation and coordinated post-discharge care play a pivotal role in the postoperative period.</p><p><strong>Conclusion: </strong>Our review briefly summarizes the most important clinical problems in the perioperative care of very old adults, drawing where necessary on evidence from broader older populations. Despite increase of high-quality evidence in the field, an individualized approach and involvement of an interdisciplinary team are frequently required in this group of patients.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Statin use and functional response to multicomponent exercise in acutely hospitalized older adults: secondary analysis of a randomized trial.","authors":"J F Trujillo-Rivera, M Gutiérrez-Valencia, A Galbete, Chenhui Chenhuichen, F Zambom-Ferraresi, N Martínez-Velilla","doi":"10.1007/s41999-026-01615-7","DOIUrl":"https://doi.org/10.1007/s41999-026-01615-7","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated whether statin use modulates the functional benefits of a multicomponent exercise program during acute hospitalization in patients aged > 75 years.</p><p><strong>Methods: </strong>We conducted a secondary analysis of a randomized controlled trial (NCT02300896) involving 310 participants (average age 87 years, 58.7% women). The intervention group received supervised exercise, whereas the control group received standard care. The primary outcome was change in the Barthel Index (BI).</p><p><strong>Results: </strong>Overall, exercise improved functional outcomes, regardless of statin use. Although exploratory adjusted models suggested a potentially greater Barthel Index improvement in statin users compared to non-users (mean difference 5.58 points; 95% CI 0.44 to 10.7; p = 0.035), this finding should be interpreted with caution. No statin-related adverse muscle events were observed during the intervention.</p><p><strong>Conclusions: </strong>Exercise interventions confer functional benefits during acute hospitalization regardless of statin use. While statin users exhibited greater improvement in Barthel Index scores, this exploratory finding requires cautious interpretation. Overall, these results reinforce the safety of maintaining statins in acutely ill older adults and support the implementation of exercise programs.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic factors for functional decline in community-dwelling older adults with dementia: a systematic review and meta-analysis.","authors":"Johannes Riis, Dorte Melgaard, Victoria Gunmalm, Kirsten Schultz Petersen, Martin Grønbech Jørgensen, Stig Andersen","doi":"10.1007/s41999-026-01613-9","DOIUrl":"https://doi.org/10.1007/s41999-026-01613-9","url":null,"abstract":"<p><strong>Background: </strong>Identifying prognostic factors of ADL decline in community-dwelling older adults with dementia may clarify individual variability and support person-centered prognostication. This systematic review and meta-analysis aimed to review independent prognostic factors for ADL decline in this population.</p><p><strong>Methods: </strong>We searched PubMed, EMBASE, Cochrane CENTRAL, CINAHL, and PsycINFO from inception to October 2025. Eligible longitudinal studies enrolled community-dwelling adults ≥65 years with dementia. Two reviewers independently screened studies, extracted data, and assessed risk of bias. Risk of bias was assessed using the Quality in Prognostic Studies tool. Meta-analyses and GRADE were applied to predictors reported in ≥3 studies with sufficient heterogeneity.</p><p><strong>Results: </strong>We screened 6,915 records; reviewed 100 full texts and included 19 reports from 13 studies (9,490 participants). Risk of bias was frequently high for selection (16/19) and attrition (14/19), often due to poor reporting. A wide range of prognostic factors were reported but only age, global cognitive function by MMSE, sex, education, and living alone were examined consistently enough to allow meta-analysis. Age and education showed no significant effect (SMD: 0.0, 95% CI 0.0-0.1 for age, 0.00, 95% CI: -0.02 to 0.02 for years of education; moderate certainty for both). Better baseline cognition predicted slower ADL decline (SMD -0.05, 95% CI -0.06 to -0.04; moderate certainty). Confidence in results for sex and living alone was very low and inconsistent.</p><p><strong>Conclusion: </strong>In community-dwelling older adults with dementia, baseline cognition-but not age or education-predicts ADL decline. The limited and heterogeneous evidence highlights the need for more high-quality longitudinal research.</p><p><strong>Protocol registration: </strong>PROSPERO: CRD42024502839.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative sodium abnormalities and adverse postoperative outcomes in older surgical patients: association and incremental predictive value in the BioCog cohort.","authors":"Marinus Fislage, Insa Feinkohl, Florian Lammers-Lietz, Tobias Pischon, Georg Winterer, Claudia D Spies, Friedrich Borchers, Norman Zacharias","doi":"10.1007/s41999-026-01610-y","DOIUrl":"https://doi.org/10.1007/s41999-026-01610-y","url":null,"abstract":"<p><strong>Purpose: </strong>To determine whether preoperative sodium abnormalities provide incremental predictive value for estimating postoperative delirium (POD), mortality, and complications.</p><p><strong>Methods: </strong>For this observational cohort study, we included older patients (≥ 65 years) without dementia who were scheduled for elective surgery with an anticipated duration of ≥ 60 min. Routinely obtained sodium values below 135 mmol/L defined hyponatremia and that above 145 mmol/L hypernatremia. We assessed our primary outcome, postoperative delirium, by using a set of four validated tests. Our secondary, exploratory outcomes were postoperative complications, and in-hospital as well as 90-day mortality. For each outcome, we calculated multivariable prediction models and determined the change of the area under the receiver-operating curve (AUROC) and Brier scores after adding abnormal sodium as variable.</p><p><strong>Results: </strong>Presurgical sodium levels were available for 618 patients with a median age of 72 (Interquartile range 7) and 286 (46.3%) female patients. Thirty-one patients (5.0%) had values indicating hyponatremia (range 125-134 mmol/L) and 16(2.6%) hypernatremia (range 146-150 mmol/L). Patients with abnormal sodium levels had higher incidences for each outcome: POD [normal sodium 119(20.8%) vs. abnormal sodium 18(38.3%)], in-hospital mortality [9(1.6%) vs. 8(17.0%)], the 90-day mortality [16(2.8%) vs. 13(27.7%)], and more severe complications (Clavien-Dindo-II and more) [219(38.4%) vs. 30(65.2%)]. After adjustment for established clinical risk factors, the addition of dysnatremia resulted in only minimal improvements in discrimination for postoperative delirium (AUROC 0.71 to 0.72; bootstrap-corrected difference 0.0045, 95% CI - 0.0027 to 0.0199) and postoperative complications (AUROC 0.71 to 0.72; difference 0.004, 95% CI - 0.0011 to 0.0124). For in-hospital mortality, the inclusion of dysnatremia increased the optimism-corrected AUROC from 0.864 to 0.889 (difference 0.023, 95% CI 0.0046-0.0435). Similarly, for 90-day mortality, addition of dysnatremia increased the bootstrap-validated C-index from 0.91 to 0.93, corresponding to a median increase of 0.021 (95% CI 0.001 to 0.057). However, Brier scores only showed marginal differences for each outcome.</p><p><strong>Conclusions: </strong>While preoperative sodium disorders are associated with postoperative risk, it added limited incremental value for predicting POD and postoperative complications, offering little clinical impact. In exploratory analysis, sodium abnormalities slightly improved risk discrimination of 90-day mortality beyond established risk factors, which warrants further study.</p><p><strong>Clinical trial number: </strong>NCT02265263 ( https://clinicaltrials.gov/ct2/show/results/NCT02265263 ).</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetes medication use in the last year of life in people living with dementia in the United Kingdom and Australia.","authors":"Darshna Goordeen, Olivia K Hopkinson, Emily Reeve, Joshua D Niznik, Wallis C Y Lau, Li Wei, Jenni Ilomaki, J Simon Bell","doi":"10.1007/s41999-026-01608-6","DOIUrl":"https://doi.org/10.1007/s41999-026-01608-6","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the prevalence of type 2 diabetes (T2D) medication use in the final 3,6, 9, and 12 months of life and explore patient factors associated with discontinuation in the 6 months prior to death in people living with dementia in the UK and Australia.</p><p><strong>Methods: </strong>Linked hospital and administrative data were used from the UK and Australia. We included individuals who died between July 2013 and June 2018. Logistic regressions estimated the association between age, sex, cardiovascular disease, chronic kidney disease (CKD), and cancer with discontinuation of T2D medications.</p><p><strong>Results: </strong>10,088 UK and 6,436 Australian individuals were identified. From those supplied insulin in the last 12 months of life, there was a 25.6% reduction in use in the UK and 43.5% in Australia in the last 3 months of life, but minimal reduction in other medication classes. CKD was associated with metformin discontinuation in the last 6 months of life in the UK (OR 1.05, 95% CI 1.03-1.07) and Australia (OR 1.60, 95% CI 1.15-2.12).</p><p><strong>Conclusion: </strong>Guideline-concordant discontinuation of metformin in the last 6 months of life was observed in those with CKD. Decreased insulin supply in those living with dementia was observed. There were lower rates of discontinuation of other glucose-lowering medications in the UK and Australia.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidomain changes in clinical outcomes after 12 weeks of resistance-based exercise training in healthy older adults: a four‑domain framework for identifying non‑responders.","authors":"Špela Matko, Barbara Strasser, Bibiane Steinecker-Frohnwieser, Tanja Stamm, Helmut Kern, Stefan Löfler, Stefanie Hochenwarter, Ferdinand Prüfer, Alexandra Unger, Veronika Tirpáková, Jan Cvecka, Nejc Šarabon, Vincent Grote","doi":"10.1007/s41999-026-01614-8","DOIUrl":"https://doi.org/10.1007/s41999-026-01614-8","url":null,"abstract":"<p><strong>Purpose: </strong>To characterise multidomain changes observed over 12 weeks among healthy older adults participating in a supervised resistance-based exercise programme.</p><p><strong>Background: </strong>Resistance-based exercise improves physical performance in older adults, yet clinical evaluation often relies on isolated outcome measures and overlooks multidimensional changes. We investigated multidomain changes following a 12‑week supervised exercise training programme in healthy older adults using a reduced, clinically interpretable four‑domain framework and a Multidomain Quality Outcome Index (MQO_idx) to characterise overall responsiveness.</p><p><strong>Methods: </strong>A total of 126 healthy older adults (age: 67.7  ±  5.3 years; 62.7% women) completed a 12-week training programme. A comprehensive battery of assessments was categorised in four clinically interpretable domains: 'body composition', 'muscle capacity', 'functional performance', and 'pain & HRQoL'. Changes were expressed as z‑standardised factor scores and standardised mean differences (SMD). Multidomain responders were classified based on their MQO_idx change (≥  + .33 SMD).</p><p><strong>Results: </strong>Values in the 'functional performance' domain improved substantially (SMD  =  .67 ± .57), leading to overall improvement (MQO_idx SMD  =  .30 ± .56). Values in the 'muscle capacity' domain remained stable, while those in 'body composition' showed a slight negative shift. Changes in the 'Pain & HRQoL' domain were heterogeneous. Forty-six percent of participants met responder criteria. Non‑responders were characterised by worsening of values in the 'pain & HRQoL' domain and small deteriorations in the 'muscle capacity' and 'body composition' domains, while still exhibiting measurable improvements in 'functional performance'. Baseline characteristics showed the strongest associations with 'muscle capacity' and 'functional performance', whereas associations with change were limited and primarily involved 'pain & HRQoL' and the composite index (MQO_idx).</p><p><strong>Conclusions: </strong>Early-phase change in these four domains appears asynchronous. The use of a multidomain evaluation framework reveals this heterogeneity and may facilitate the early identification of diverging response trajectories. Baseline characteristics showed stronger associations with baseline domain status than with short-term changes. PROMs showed limited mean short-term change but contributed to identifying divergent outcome trajectories. As this was a single-arm study without a control group, the observed changes cannot be attributed to the intervention alone. Further studies are needed to assess external validity and longer-term stability.</p><p><strong>Trial registration number: </strong>NCT05053282 (22.09.2021).</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between preoperative fear of falling and mortality after hip fracture surgery in older adults: a post-hoc analysis of a prospective cohort.","authors":"Feng Gao, Yimin Chen, Mingjian Bei, Yixiao Chen, Ruijiang Li, Shanbin Xu, Liunan Chen, Zhelun Tan, Gang Liu, Minghui Yang, Xinbao Wu","doi":"10.1007/s41999-026-01597-6","DOIUrl":"https://doi.org/10.1007/s41999-026-01597-6","url":null,"abstract":"<p><strong>Purpose: </strong>To examine whether preoperative fear of falling, measured with the modified Falls Efficacy Scale (mFES), is associated with short-term (30-day) and long-term (3-year) postoperative mortality in older adults undergoing hip fracture surgery.</p><p><strong>Methods: </strong>This post-hoc analysis was based on a prospective observational cohort study. Patients aged ≥ 65 years who underwent surgery for hip fractures between November 2018 and November 2019 were included. Fear of falling was assessed at admission using the mFES. All-cause mortality was assessed by telephone follow-up at 30-day, 120-day, 1-year, and 3-year after admission. Logistic regression and Cox proportional hazards models were used to evaluate the associations between mFES score and short-term and long-term mortality.</p><p><strong>Results: </strong>A total of 1092 patients were enrolled. The median mFES score was 8.04 (IQR 5.75-10.00). In the multivariable logistic regression analysis, higher mFES scores were independently associated with lower odds of 30-day mortality (adjusted OR 0.780, 95% CI 0.625-0.974, P = 0.028). In the multivariable Cox proportional hazards model, higher mFES scores also remained independently associated with lower long-term mortality risk during the 3-year follow-up period (adjusted HR 0.925, 95% CI 0.874-0.979, P = 0.007).</p><p><strong>Conclusion: </strong>Lower preoperative mFES scores were independently associated with increased postoperative mortality in older adults undergoing hip fracture surgery. The association was strongest for 30-day mortality, while a weaker but persistent association with long-term mortality was also observed over the 3-year follow-up period.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the impact of Multiple Long-Term Conditions (MLTC) on the completion of delirium screening documentation: analysis using routinely collected clinical data.","authors":"Sarah J Richardson, Jonathan G Bunn, Felicity Evison, Suzy Gallier, Steve Harris, Peta le Roux, Chris Plummer, Emma Prendergast, Elizabeth Sapey, Avan A Sayer, Mervyn Singer, Marzieh Shahmandi, Miles D Witham","doi":"10.1007/s41999-026-01594-9","DOIUrl":"https://doi.org/10.1007/s41999-026-01594-9","url":null,"abstract":"<p><strong>Introduction: </strong>Multiple Long-Term Conditions (MLTC) are a recognised risk factor for delirium, but little is known about the impact of MLTC on delirium screening. This study aimed to explore the impact of MLTC on delirium screening documentation for older, hospitalised people.</p><p><strong>Methods: </strong>Routinely collected data extracted from electronic health records of people aged ≥75 years were analysed. Delirium screening documentation was ascertained from a dedicated electronic form; MLTC were ascertained using previously published ICD-10 codes for 60 common hospital diagnoses. Descriptive analyses were used.</p><p><strong>Results: </strong>Delirium screening documentation was completed in 42.7% (2594/6068), with higher rates in emergency (2105/4331(48.6%)) than elective admissions (489/1737(28.2%)). Increasing numbers of LTC were associated with increased odds of delirium screening documentation.</p><p><strong>Conclusion: </strong>Delirium screening documentation rates were poor, especially in those with fewer LTC and those admitted electively. These groups should be highlighted within wider targeted interventions to improve delirium screening amongst all older people in hospital.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}