期刊论文详细信息
BMC Geriatrics
Improving recognition of delirium in clinical practice: a call for action
Koen Milisen1  Emma Reynish2  Andrew Teodorczuk3 
[1] Leuven University Division of Geriatric Medicine, University Hospitals Leuven, Leuven, Belgium;Dementia Service Development Centre, University of Stirling, Stirling, Scotland, UK;Education Department, North Tyneside Hospital, Northumbria Healthcare Trust, North Shields, NE29 8NH, UK
关键词: Geriatric psychiatry;    Training;    Education;    Delirium;   
Others  :  858061
DOI  :  10.1186/1471-2318-12-55
 received in 2012-02-06, accepted in 2012-08-31,  发布年份 2012
【 摘 要 】

Background

The purpose of this correspondence article is to report opinion amongst experts in the delirium field as to why, despite on-going training for all health professionals, delirium continues to be under recognised. Consensus was obtained by means of two conference workshops and an online survey of members of the European Delirium Association.

Major barriers to recognition at an individual level include ignorance about the benefit of treating delirium. At an organisational level, reflecting socio-cultural attitudes, barriers include a low strategic and financial priority and the fact that delirium is an orphan condition falling between specialties.

【 授权许可】

   
2012 Teodorczuk et al.; licensee BioMed Central Ltd.

附件列表
Files Size Format View
Figure 3. 18KB Image download
【 图 表 】

Figure 3.

【 参考文献 】
  • [1]Lindesay J, Rockwood K, Rolfson D: The epidemiology of delirium. In Delirium in Old Age. Edited by Lindesay J, Rockwood K, Macdonald A. Oxford University, New York; 2000:27-50.
  • [2]Von Gunten A, Mosimann U: Delirium upon admission to Swiss nursing homes: a cross-sectional study. Swiss Med Wkly 2010, 26(140):376-381.
  • [3]Marcantonio E, Kiely D, Simon S, John Orav E, Jones R, Murphy K, Bergmann M: Outcomes of older people admitted to postacute facilities with delirium. J Am Geriatr Soc 2005, 53(6):963-969.
  • [4]Inouye SK: Delirium in older persons. N Engl J Med 2006, 354(11):1157-1165.
  • [5]Witlox J, Eurelings LS, de Jonghe JF, Kalisvaart KJ, Eikelenboom P, van Gool WA: Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta-analysis. JAMA 2010, 304(4):443-451.
  • [6]Leslie D, Marcantonio E, Zhang Y, Leo-Summers L, Inouye S: One-year health care costs associated with delirium in the elderly population. Arch Intern Med 2008, 168(1):27-32.
  • [7]NICE: Delirium: diagnosis, prevention and management. Clinical guideline 103, London; 2010.
  • [8]Inouye SK, Bogardus ST Jr, Charpentier PA, Leo-Summers L, Acampora D, Holford TR, Cooney LM Jr: A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 1999, 340(9):669-676.
  • [9]Deschodt M, Braes T, Flamaing J, Detroyer E, Broos P, Haentjens P, Boonen S, Milisen K: Preventing delirium in older adults with recent hip fracture through multidisciplinary geriatric consultation. J Am Geriatr Soc 2012, 60(4):733-739.
  • [10]MacLullich A, Hall R: Who Understands Delirium? Age Ageing 2011, 40:412-414.
  • [11]Milisen K, Lemiengre J, Braes T, Foreman M: Multicomponent intervention strategies for managing delirium in hospitalized older people: systematic review. J Adv Nurs 2005, 52(1):79-90.
  • [12]Wong C, Holyroyd-Leduc J, Simel D, Straus S: Does this patient have delirium?: Value of Bedside Instruments. JAMA 2010, 304:779-786.
  • [13]Young R, Arseven A: Diagnosing delirium. JAMA 2010, 304(19):2125-2126.
  • [14]Lemiengre J, Nelis T, Joosten E, Braes T, Foreman M, Gastmans C, Milisen K: Detection of delirium by bedside nurses using the confusion assessment method. J Am Geriatr Soc 2006, 54(4):685.
  • [15]Fick D, Foreman M: Consequences of not recognizing delirium superimposed on dementia in hospitalized elderly individuals. J Gerontol Nurs 2000, 26(1):30-40.
  • [16]Kales HC, Kamholz BA, Visnic SG, Blow FC: Recorded delirium in a national sample of elderly inpatients: potential implications for recognition. J Geriatr Psychiatry Neurol 2003, 16(1):32-38.
  • [17]Milisen K, Foreman M, Wouters B, Driesen R, Godderis J, Abraham I, Broos P: Documentation of delirium in elderly patients with hip fracture. J Gerontol Nurs 2002, 28(11):23-29.
  • [18]Davis D, MacLullich A: Understanding barriers to delirium care: a multicentre survey of knowledge and attitudes amongst UK junior doctors. Age Ageing 2009, 38(5):559-563.
  • [19]Irving K, Detroyer E, Foreman M, Milisen K: The virtual gateway: opening doors in delirium teaching and learning. Int Rev Psychiatry 2009, 21(1):15-19.
  • [20]Detroyer E, Debonnaire D, Dobbels F, Gommers J, Irving K, Joosten E, Milisen K: The effect of a delirium e-learning program on nurses’ knowledge of delirium. In European Delirium Association Annual Scientific Congress. Umea, Sweden; 2011.
  • [21]Teodorczuk A, Welfare M, Corbett S, Mukaetova-Ladinska E: Education, hospital staff and the confused older patient. Age and Ageing 2009, 38:252-253.
  • [22]Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI: Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann Intern Med 1990, 113(12):941-948.
  • [23]Ely EW, Margolin R, Francis J, May L, Truman B, Dittus R, Speroff T, Gautam S, Bernard GR, Inouye SK: Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Crit Care Med 2001, 29(7):1370-1379.
  • [24]Schuurmans MJ, Shortridge-Baggett LM, Duursma SA: The Delirium Observation Screening Scale: a screening instrument for delirium. Res Theory Nurs Pract 2003, 17(1):31-50.
  文献评价指标  
  下载次数:0次 浏览次数:30次