Structured delirium management in the hospital—a randomized controlled trial

Krämer, Julia; Nolte, Katharina; Zupanc, Laura; Schnitker, Stefan; Roos, Arnout N.; Göpel, Christopher; Cid, Janina Santos; Eichler, Kirsten; Hooven, Thomas van den; Hempel, Georg; Pavenstädt, Hermann-Joseph; Klaas, Christoph; Gosheger, Georg; Raschke, Michael J.; Wiendl, Heinz; Duning, Thomas

doi:10.3238/arztebl.m2022.0131

Cited by 8 publications

(3 citation statements)

References 36 publications

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“…The discussion with dementia experts and findings of other studies [ 4 , 5 , 25 , 28 , 35 , 36 ] show that both are lacking. However, there are already best-practice approaches implemented in hospitals that address multiprofessional collaboration in the care of people with dementia, such as multiprofessional consultation teams [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Contextualizing the results of an integrative review on the characteristics of dementia-friendly hospitals: a workshop with professional dementia experts

Manietta,

Purwins,

Reinhard

et al. 2023

BMC Geriatr

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Background To become a dementia-friendly hospital (DFH) is increasingly being discussed in health care practice, research, politics and society. In our previous integrative review, we identified six characteristics of DFHs. To thoroughly discuss and contextualize these characteristics in relation to hospitals in Germany, we involved professional dementia experts in our review process. Methods At the end of our review process, we involved professional dementia experts at the ‘contributing’ level of the ACTIVE framework to discuss and reflect on the six DFH characteristics we identified. We conducted a group process in the form of a one-day workshop. The workshop consisted of four steps: 1. presentation of review results (input), 2. modification of DFH characteristics and rating of their relevance in smaller working groups, 3. discussion of group results in plenary and 4. questionnaire for prioritization and rating of feasibility. The data were analyzed in MAXQDA using content analysis and descriptive statistics. Results A total of 16 professional dementia experts working in hospitals participated in the workshop. All the previously identified characteristics of a DFH were rated as relevant or very relevant for patients with dementia, their relatives and health care professionals from the professional dementia experts’ perspective. They made a few modifications of the six characteristics at the level of subcategories, aspects, and descriptions. The feasibility of the characteristics in hospitals was critically discussed regarding resources, hospital structures and processes, the role of nurses, and the current care situation of people with dementia in hospitals. More than half of the subcategories of the characteristics were considered very difficult or difficult to implement by most professional dementia experts. Conclusion The involvement of professional dementia experts helped us contextualize our review findings within the German hospital setting. These results highlight the need to consider resources, funding options, influencing factors, and the current situation and culture of care provided by hospitals before implementing DFH characteristics. Beside the involvement of professional dementia experts and various health care professionals, the involvement of other stakeholders, such as people with dementia and their relatives, is necessary in future research for the development of a DFH.

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Section: Discussionmentioning

confidence: 99%

Contextualizing the results of an integrative review on the characteristics of dementia-friendly hospitals: a workshop with professional dementia experts

Manietta,

Purwins,

Reinhard

et al. 2023

BMC Geriatr

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“…Patogeneza majaczenia pooperacyjnego nie jest do końca poznana, jest złożona i wieloczynnikowa, przebiega z udziałem interakcji wielorakich czynników predysponujących oraz wywołujących [3][4][5][6]. Czynniki predysponujące do wystąpienia zespołu majaczeniowego po operacji są spersonalizowane, występują już przed operacją i zwiększają podatność na uszkodzenie mózgu.…”

Section: Wstępunclassified

Delirium syndrome in the postoperative period

Cierzniakowska,

Popow,

Kozłowska

et al. 2023

pcia

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“…As evidências mais promissoras relacionadas à redução do delirium se destacam por meio de atividades multiprofissionais de identificação, prevenção, tratamento e manejo dos fatores associados ao desenvolvimento de delirium, somadas ao diagnóstico precoce, resultando em uma redução de até 40% da incidência de delirium intra-hospitalar, com consequente redução de sequelas e de quadros demenciais após a alta (10,(12)(13)(14) . Dada a relevância desta temática, tem-se como pergunta de pesquisa: Quais são os fatores precipitantes intrahospitalares associados ao desenvolvimento de delirium em idosos internados?…”

Section: Introductionunclassified

Delirium em idosos internados: avaliação dos fatores precipitantes

Antonio,

Gomes Dellaroza,

Sarria Cabrera

et al. 2023

CienCuidSaude

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Objetivo: Avaliar a associação de fatores precipitantes com a ocorrência de delirium em idosos hospitalizados. Método: Estudo quantitativo, longitudinal, exploratório realizado em um hospital público do norte do Paraná em pacientes com idade igual ou superior a 60 anos. A amostra coletada foi de 315 idosos, dos quais 67 apresentaram delirium durante o estudo. Foram incluídos os pacientes com internação mínima de 48 horas, sendo os dados coletados com o próprio idoso, acompanhante, profissional de saúde ou no prontuário, diariamente, durante a primeira semana de internação ou até a alta hospitalar, transferência, óbito ou diagnóstico de delirium. Resultados: Na análise de regressão logística, houve associação de delirium com os fatores precipitantes: maior tempo de internação no pronto-socorro, contenção física, presença de acompanhante, gravidade da doença, alterações nos níveis de ureia, creatinina e proteína C reativa, presença de infecção; privação de luz natural, uso de oxigenoterapia e cateterismo urinário. Houve 26 correlações significativas entre os fatores precipitantes associados ao desencadeamento do delirium. Houve associação de delirium com piora prognóstica, maior tempo de internação e óbito. Conclusão: Intervenções multiprofissionais controlando a ocorrência de fatores precipitantes poderão contribuir para a redução dos casos de delirium, impactando no tempo de internação, morbimortalidades e sobrevida do idoso internado.

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Structured delirium management in the hospital—a randomized controlled trial

Cited by 8 publications

References 36 publications

Contextualizing the results of an integrative review on the characteristics of dementia-friendly hospitals: a workshop with professional dementia experts

Contextualizing the results of an integrative review on the characteristics of dementia-friendly hospitals: a workshop with professional dementia experts

Delirium syndrome in the postoperative period

Delirium em idosos internados: avaliação dos fatores precipitantes

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