The Scottish Intercollegiate Guidelines Network: risk reduction and management of delirium

Davis, Daniel; Searle, Samuel D; Tsui, Alex

doi:10.1093/ageing/afz036

Cited by 48 publications

(37 citation statements)

References 17 publications

(17 reference statements)

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“…In the absence of a specific scale for the diagnosis of delirium in a patient with COVID-19 it is recommended to use the Confusion Assessment Method (CAM) (figure 3), which is the most widely used tool, it is brief, and does not require prior training, in addition to having 46%-94% sensitivity and 63%-100% specificity in the context of delirium due to any cause (British Geriatrics Society, European Delirium Association, & Old Age Psychiatry Faculty, 2020; Davis, Searle, & Tsui, 2019;Herling et al, 2018).…”

Section: Clinical Characteristics and Diagnosis Of Delirium In Covid-19mentioning

confidence: 99%

Prevention, diagnosis, and treatment of delirium in older adults with COVID-19. Literature review

et al. 2020

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Background. COVID-19 affects several systems in the body, including the central nervous system (CNS), expressed in the form of headaches, hyposmia, cerebrovascular disease, and neuropathy. Older Adults (OA) are vulnerable to this infection, and may also present delirium, which may be the result of the virus directly affecting the CNS or of systemic inflammation during infection. Objective. To determine the clinical characteristics, risk factors, pathophysiology, treatment measures, and prevention of delirium associated with COVID-19 from a review of the literature in times of the SARS-CoV-2 pandemic. Method. A search was conducted in PubMed, SciELO, UpToDate, and Medscape using keywords in English and Spanish. Results. Seventy-two articles were reviewed. We analyzed inclusion and exclusion criteria and 43 articles with relevant information for the narrative description of the review were selected. Twenty to thirty per cent of the COVID-19 patients will present or develop delirium, or changes in mental status during their hospitalization, with rates of 60% to 70% in severe illness. The exact mechanisms are likely to be multifactorial. There is a worrying lack of attention to the implications of identifying and managing delirium in the response to this pandemic. Discussion and conclusion. Delirium is a frequent neurological manifestation in OA with COVID-19 and requires early identification, as well as the implementation of non-pharmacological and pharmacological treatment strategies, which may reduce the associated morbidity and mortality in this age group.

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Section: Clinical Characteristics and Diagnosis Of Delirium In Covid-19mentioning

confidence: 99%

Prevention, diagnosis, and treatment of delirium in older adults with COVID-19. Literature review

et al. 2020

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“…It helpfully lists opportunities for future research on important clinical questions that remain unanswered, such as the impact of follow-up clinics on the mental health of people who have experienced delirium. It promises to be a landmark publication to help bridge the gap between desired and actual clinical practice [15]. Widespread implementation of its recommendations would have a major beneficial impact on the prevalence of delirium and the poor outcomes and experiences for those with the condition.…”

Section: Implementing the Guideline And The Future Of Delirium Carementioning

confidence: 99%

The Scottish Intercollegiate Guidelines Network (SIGN) 157: Guidelines on Risk Reduction and Management of Delirium

Soiza

Myint

2019

Medicina

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The Scottish Intercollegiate Guidelines Network (SIGN) guideline on delirium is a major advance on existing guidelines on this condition. This is particularly important given the evidence it is frequently under-diagnosed and inadequately managed despite being common and frequently associated with significant patient and carer distress and poor outcomes. The guidelines recommend using the 4A’s test to help detect delirium. A bundle of mostly non-pharmacological therapies minimise the risk of developing delirium and can help those who develop the condition. The importance of medical optimisation by an experienced professional in those at risk of delirium is highlighted with new recommendations for people in intensive care and surgical settings. There is guidance on follow-up of people with delirium, which should become routine. This commentary piece focusses on areas with the greatest potential to improve the experience and outcomes of those with delirium, and briefly discusses areas of ongoing uncertainty.

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“…Studies on patients with the COVID-19 indicate that they may experience various symptoms such as fever, dyspnea, muscle ache, headache, fear, diarrhea, nausea, vomiting, increased systolic blood pressure, and hemoptysis, that require invasive and non-invasive therapeutic supports during the acute course of the disease [ 5 , 6 ]. The mortality rate of COVID-19 has been estimated as 1 to 5%, but this varies based on patients’ age groups and the presence or absence of underlying diseases [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring nurses’ perception about the care needs of patients with COVID-19: a qualitative study

et al. 2020

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Background COVID-19 is a new disease affecting and killing a large number of people across the world every day. One way to improve health care for these patients is to recognize their needs. Nurses, as a large population of health care staff, can be rich sources of information and experience on patients’ care needs. Therefore, the aim of this study was to explore nurses’ perception about the care needs of patients with COVID-19. Methods The present qualitative research was performed using the conventional content analysis approach in Iran from March to May 2020. The participants of this study included the nurses caring for patients with COVID-19, recruited by the purpose sampling method. The data was collected through 20 telephone interviews and analyzed based on the method proposed by Lundman and Graneheim. Results Qualitative data analysis revealed six main categories including need for psychological consulting, need for quality improvement of services, need for upgrading of information, need for improving of social support, need for spiritual care and need for social welfare. Conclusion The data showed that patients with COVID-19 were psychologically, physically, socially, economically, and spiritually affected by the disease. Therefore, they should be comprehensively supported by health care staff and other supportive systems.

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The Scottish Intercollegiate Guidelines Network: risk reduction and management of delirium

Cited by 48 publications

References 17 publications

Prevention, diagnosis, and treatment of delirium in older adults with COVID-19. Literature review

Prevention, diagnosis, and treatment of delirium in older adults with COVID-19. Literature review

The Scottish Intercollegiate Guidelines Network (SIGN) 157: Guidelines on Risk Reduction and Management of Delirium

Exploring nurses’ perception about the care needs of patients with COVID-19: a qualitative study

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