{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T04:52:30Z","timestamp":1769057550244,"version":"3.49.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Nervenarzt"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Anfragen zu Delirien stellen eine sehr h\u00e4ufige Fragestellung im psychiatrischen Konsil- und Liaisondienst (CL) dar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Fragestellung<\/jats:title>\n                    <jats:p>Welche praktischen Vorgehensweisen lassen sich entsprechend aktuellen Empfehlungen ableiten?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methode<\/jats:title>\n                    <jats:p>Auswertung aktueller Leitlinien und Literaturempfehlungen sowie Erfahrungen der interdisziplin\u00e4ren Planung von Delirmanagement an verschiedenen Krankenh\u00e4usern und Anmerkungen der Teilnehmenden in Workshops des Autors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Delirien werden als gro\u00dfe Belastung bei der Behandlung schwer Kranker \u00fcber alle Disziplinen angesehen. Es existieren medizinische nationale und internationale Leitlinienempfehlung, welche \u00fcbereinstimmend ein institutionelles Delirmanagement empfehlen, welches f\u00fcr die jeweilige Abteilung ein standardisiertes Vorgehen zur Risikominimierung und Pr\u00e4vention von Delirien verfolgt. Gerade bei hohem Alter kann kognitiven Defiziten Vorschub geleistet werden. Pathophysiologische Modellvorstellungen k\u00f6nnen die Behandlungsindikation unterst\u00fctzen. In der Behandlung zeigen sich vor allem nichtpharmakologische Ma\u00dfnahmen effektiv, pharmakologische Schritte sollen gut abgewogen und differenziert erfolgen. Die Kommunikation mit Betroffenen und Angeh\u00f6rigen und die \u00dcberleitung bei Entlassung oder Verlegung sollte explizit mit einbezogen werden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerungen<\/jats:title>\n                    <jats:p>Im CL k\u00f6nnen Schritte der Diagnostik und Behandlung und des abteilungsspezifischen, multiprofessionellen Delirmanagements unterst\u00fctzt werden, vor allem die der differenzierten Psychopharmakotherapie. Weitere Anstrengung bei der Implementierung eines wirksamen Delirmanagements sind auch institutionell sinnvoll m\u00f6glich, um Prognose und Lebensqualit\u00e4t der Betroffenen zu verbessern.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00115-025-01836-4","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T06:35:59Z","timestamp":1748586959000},"page":"342-347","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Delir im psychiatrischen Konsildienst","Delirium in psychiatric consultation services"],"prefix":"10.1007","volume":"96","author":[{"given":"Eike","family":"Ahlers","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"issue":"4","key":"1836_CR1","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1016\/j.ccc.2008.05.008","volume":"24","author":"JR Maldonado","year":"2008","unstructured":"Maldonado\u00a0JR (2008) Delirium in the Acute Care Setting: Characteristics, Diagnosis and Treatment. Crit Care Clin 24(4):657\u2013722","journal-title":"Crit Care Clin"},{"issue":"2","key":"1836_CR2","first-page":"34","volume":"113","author":"E Savaskan","year":"1994","unstructured":"Savaskan\u00a0E et\u00a0al (1994) Recommendations for the diagnostic and therapy of behavioural and psychological symptoms of dementia (BPSD). Praxis 113(2):34\u201343","journal-title":"Praxis"},{"issue":"4","key":"1836_CR3","doi-asserted-by":"publisher","first-page":"955","DOI":"10.1097\/01.CCM.0000119429.16055.92","volume":"32","author":"EB Milbrandt","year":"2004","unstructured":"Milbrandt\u00a0EB et\u00a0al (2004) Costs associated with delirium in mechanically ventilated patients. Crit Care Med 32(4):955\u2013962","journal-title":"Crit Care Med"},{"key":"1836_CR4","unstructured":"(DGAI), D.G.f.A.u.I.e.\u202fV. AWMF S3-Leitlinie Analgesie, Sedierung und Delirmanagement in der Intensivmedizin (DAS-Leitlinie) Registernummer 001\u2013012. 2021 17. Dez. 2024."},{"key":"1836_CR5","unstructured":"(DGN), D.G.f.N.e.\u202fV. AWMF S1 Delir und Verwirrtheitszust\u00e4nde inklusive Alkoholentzugsdelir \u3008h3 _ngcontent-ihm-c64=\u201c\u201d style=\u201cbox-sizing: border-box; margin: 2px 0px; font-weight: normal; line-height: 1.2; font-size: 14px; caret-color: rgb(115, 115, 115); color: rgb(115, 115, 115); font-family: Ubuntu, sans-serif;\u201d\u3009Registernummer 030 - 006. 2020 17. Dez. 2024."},{"issue":"3","key":"1836_CR6","doi-asserted-by":"publisher","first-page":"898","DOI":"10.1007\/s12028-023-01837-8","volume":"40","author":"N Paul","year":"2024","unstructured":"Paul\u00a0N et\u00a0al (2024) Enhancing European Management of Analgesia, Sedation, and Delirium: A\u00a0Multinational, Prospective, Interventional Before-After Trial. Neurocrit Care 40(3):898\u2013908","journal-title":"Neurocrit Care"},{"key":"1836_CR7","doi-asserted-by":"publisher","first-page":"e216370","DOI":"10.1001\/jamasurg.2021.6370","volume":"157(2): p","author":"F Deeken","year":"2022","unstructured":"Deeken\u00a0F et\u00a0al (2022) Outcomes of a\u00a0Delirium Prevention Program in Older Persons After Elective Surgery: A\u00a0Stepped-Wedge Cluster Randomized Clinical Trial. JAMA Surg 157(2): p:e216370","journal-title":"JAMA Surg"},{"issue":"6","key":"1836_CR8","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1055\/s-0044-1791226","volume":"44","author":"B Hamm","year":"2024","unstructured":"Hamm\u00a0B, Rosenthal\u00a0LJ (2024) Psychiatric Etiologies and Approaches in Altered Mental Status Presentations: Insights from Consultation Liaison Psychiatry. Semin Neurol 44(6):606\u2013620","journal-title":"Semin Neurol"},{"issue":"11","key":"1836_CR9","first-page":"188","volume":"119","author":"J Kr\u00e4mer","year":"2022","unstructured":"Kr\u00e4mer\u00a0J et\u00a0al (2022) Structured Delirium Management in the Hospital. Dtsch Arztebl Int 119(11):188\u2013194","journal-title":"Dtsch Arztebl Int"},{"issue":"7","key":"1836_CR10","first-page":"101","volume":"116","author":"N Zoremba","year":"2019","unstructured":"Zoremba\u00a0N, Coburn\u00a0M (2019) Acute Confusional States in Hospital. Dtsch Arztebl Int 116(7):101\u2013106","journal-title":"Dtsch Arztebl Int"},{"issue":"6","key":"1836_CR11","doi-asserted-by":"publisher","first-page":"1007","DOI":"10.1007\/s00134-007-0618-y","volume":"33","author":"S Ouimet","year":"2007","unstructured":"Ouimet\u00a0S et\u00a0al (2007) Subsyndromal delirium in the ICU: evidence for a\u00a0disease spectrum. Intensive Care Med 33(6):1007\u20131013","journal-title":"Intensive Care Med"},{"key":"1836_CR12","first-page":"277","volume":"26(3): p","author":"EE Vasilevskis","year":"2012","unstructured":"Vasilevskis\u00a0EE et\u00a0al (2012) Epidemiology and risk factors for delirium across hospital settings. Best practice & research. Clin Anaesthesiol 26(3): p:277\u2013287","journal-title":"Clin Anaesthesiol"},{"issue":"2","key":"1836_CR13","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1016\/j.genhosppsych.2012.11.003","volume":"35","author":"Z Zhang","year":"2013","unstructured":"Zhang\u00a0Z, Pan\u00a0L, Ni\u00a0H (2013) Impact of delirium on clinical outcome in critically ill patients: a\u00a0meta-analysis. Gen Hosp Psychiatry 35(2):105\u2013111","journal-title":"Gen Hosp Psychiatry"},{"issue":"18","key":"1836_CR14","doi-asserted-by":"publisher","first-page":"1570","DOI":"10.1212\/WNL.0b013e3181a4129a","volume":"72","author":"TG Fong","year":"2009","unstructured":"Fong\u00a0TG et\u00a0al (2009) Delirium accelerates cognitive decline in Alzheimer disease. Neurology 72(18):1570\u20131575","journal-title":"Neurology"},{"issue":"2","key":"1836_CR15","doi-asserted-by":"publisher","first-page":"e131","DOI":"10.1016\/S2666-7568(23)00266-0","volume":"5","author":"ST Pendlebury","year":"2024","unstructured":"Pendlebury\u00a0ST et\u00a0al (2024) Infection, delirium, and risk of dementia in patients with and without white matter disease on previous brain imaging: a\u00a0population-based study. Lancet Healthy Longev 5(2):e131\u2013e140","journal-title":"Lancet Healthy Longev"},{"issue":"9","key":"1836_CR16","doi-asserted-by":"publisher","first-page":"2809","DOI":"10.1093\/brain\/aws190","volume":"135","author":"DHJ Davis","year":"2012","unstructured":"Davis\u00a0DHJ et\u00a0al (2012) Delirium is a\u00a0strong risk factor for dementia in the oldest-old: a\u00a0population-based cohort study. Brain : A J Neurol 135(9):2809\u20132816","journal-title":"Brain : A J Neurol"},{"issue":"3","key":"1836_CR17","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1007\/s00115-016-0078-0","volume":"87","author":"T Kratz","year":"2016","unstructured":"Kratz\u00a0T, Diefenbacher\u00a0A (2016) Acute and long-term cognitive consequences of treatment on intensive care units. Nervenarzt 87(3):246\u2013252","journal-title":"Nervenarzt"},{"issue":"7","key":"1836_CR18","doi-asserted-by":"publisher","first-page":"2022","DOI":"10.1097\/CCM.0b013e318250acc0","volume":"40","author":"ML Gunther","year":"2012","unstructured":"Gunther\u00a0ML et\u00a0al (2012) The association between brain volumes, delirium duration, and cognitive outcomes in intensive care unit survivors: the VISIONS cohort magnetic resonance imaging study. Crit Care Med 40(7):2022\u20132032","journal-title":"Crit Care Med"},{"issue":"3","key":"1836_CR19","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1016\/j.jpsychores.2008.05.017","volume":"65","author":"G O\u2019Malley","year":"2008","unstructured":"O\u2019Malley\u00a0G et\u00a0al (2008) The delirium experience: A\u00a0review. J\u00a0Psychosom Res 65(3):223\u2013228","journal-title":"J Psychosom Res"},{"issue":"9","key":"1836_CR20","doi-asserted-by":"publisher","first-page":"1669","DOI":"10.1111\/j.1365-2702.2006.01588.x","volume":"16","author":"BL Roberts","year":"2007","unstructured":"Roberts\u00a0BL et\u00a0al (2007) Factual memories of ICU: recall at two years post-discharge and comparison with delirium status during ICU admission\u2014a\u00a0multicentre cohort study. J\u00a0Clin Nurs 16(9):1669\u20131677","journal-title":"J Clin Nurs"},{"issue":"17","key":"1836_CR21","first-page":"12","volume":"2024","author":"M Schl\u00f6gl","year":"2024","unstructured":"Schl\u00f6gl\u00a0M (2024) The Power of Humble Inquiry in Delirium Care. Enhancing Commun Collab Improv Patient Outcomes 2024(17):12","journal-title":"Enhancing Commun Collab Improv Patient Outcomes"},{"key":"1836_CR22","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.jpsychores.2016.05.002","volume":"86: p","author":"R Burian","year":"2016","unstructured":"Burian\u00a0R, Franke\u00a0M, Diefenbacher\u00a0A (2016) Crossing the bridge\u2014A prospective comparative study of the effect of communication between a\u00a0hospital based consultation-liaison service and primary care on general practitioners\u2019 concordance with consultation-liaison psychiatrists\u2019 recommendations. J\u00a0Psychosom Res 86: p:53\u201359","journal-title":"J Psychosom Res"},{"issue":"9716","key":"1836_CR23","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1016\/S0140-6736(09)61158-2","volume":"375","author":"WA van Gool","year":"2010","unstructured":"van Gool\u00a0WA, van de Beek\u00a0D, Eikelenboom\u00a0P (2010) Systemic infection and delirium: when cytokines and acetylcholine collide. Lancet 375(9716):773\u2013775","journal-title":"Lancet"},{"issue":"12","key":"1836_CR24","doi-asserted-by":"publisher","first-page":"1190","DOI":"10.1016\/j.jagp.2013.09.005","volume":"21","author":"JR Maldonado","year":"2013","unstructured":"Maldonado\u00a0JR (2013) Neuropathogenesis of Delirium: Review of Current Etiologic Theories and Common Pathways. Am J Geriatr Psychiatry 21(12):1190\u20131222","journal-title":"Am J Geriatr Psychiatry"},{"issue":"2","key":"1836_CR25","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1002\/gps.3814","volume":"28","author":"E de Lange","year":"2012","unstructured":"de Lange\u00a0E, Verhaak\u00a0PFM, van der Meer Prevalence\u00a0K (2012) presentation and prognosis of delirium in older people in the population, at home and in long term care: a\u00a0review. Int J Geriat Psychiatry 28(2):127\u2013134","journal-title":"Int J Geriat Psychiatry"},{"issue":"e001772","key":"1836_CR26","first-page":"1","volume":"3","author":"DJ Ryan","year":"2013","unstructured":"Ryan\u00a0DJ et\u00a0al (2013) Delirium in an adult acute hospital population: predictors, prevalence and detection. Bmj Open 3(e001772):1","journal-title":"Bmj Open"},{"issue":"2","key":"1836_CR27","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1097\/EJA.0000000000001876","volume":"41","author":"C Aldecoa","year":"2024","unstructured":"Aldecoa\u00a0C et\u00a0al (2024) Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus-based guideline on postoperative delirium in adult patients. Eur J Anaesthesiol 41(2):81\u2013108","journal-title":"Eur J Anaesthesiol"},{"issue":"9","key":"1836_CR28","first-page":"1026","volume":"78","author":"R Colombo","year":"2012","unstructured":"Colombo\u00a0R et\u00a0al (2012) A\u00a0reorientation strategy for reducing delirium in the critically ill. Results of an interventional study. Minerva Anestesiol 78(9):1026\u20131033","journal-title":"Minerva Anestesiol"},{"key":"1836_CR29","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1016\/j.gerinurse.2022.09.001","volume":"48: p","author":"UA Gisch","year":"2022","unstructured":"Gisch\u00a0UA et\u00a0al (2022) A\u00a0program for volunteers accompanying older patients with cognitive dysfunction to improve the quality of emergency department care: A\u00a0pilot study. Geriatr Nurs 48: p:94\u2013102","journal-title":"Geriatr Nurs"},{"issue":"3","key":"1836_CR30","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1176\/appi.psy.50.3.206","volume":"50","author":"JR Maldonado","year":"2009","unstructured":"Maldonado\u00a0JR et\u00a0al (2009) Dexmedetomidine and the Reduction of Postoperative Delirium after Cardiac Surgery. Psychosomatics 50(3):206\u2013217","journal-title":"Psychosomatics"},{"issue":"2","key":"1836_CR31","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1176\/appi.ajp.2013.13040458","volume":"171","author":"JI Friedman","year":"2014","unstructured":"Friedman\u00a0JI et\u00a0al (2014) Pharmacological Treatments of Non-Substance-Withdrawal Delirium: A\u00a0Systematic Review of Prospective Trials. Am J Psychiatry 171(2):151\u2013159","journal-title":"Am J Psychiatry"},{"issue":"12","key":"1836_CR32","doi-asserted-by":"publisher","first-page":"1223","DOI":"10.1016\/j.jagp.2012.09.008","volume":"21","author":"DJ Meagher","year":"2013","unstructured":"Meagher\u00a0DJ et\u00a0al (2013) What Do We Really Know About the Treatment of Delirium with Antipsychotics? Ten Key Issues for Delirium Pharmacotherapy. Am J Geriatr Psychiatry 21(12):1223\u20131238","journal-title":"Am J Geriatr Psychiatry"}],"container-title":["Der Nervenarzt"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00115-025-01836-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00115-025-01836-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00115-025-01836-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T13:39:09Z","timestamp":1769002749000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00115-025-01836-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,30]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["1836"],"URL":"https:\/\/doi.org\/10.1007\/s00115-025-01836-4","relation":{},"ISSN":["0028-2804","1433-0407"],"issn-type":[{"value":"0028-2804","type":"print"},{"value":"1433-0407","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,30]]},"assertion":[{"value":"28 March 2025","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 May 2025","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 January 2026","order":4,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":5,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Dieser Artikel wurde urspr\u00fcnglich im Abonnement-Modell ver\u00f6ffentlicht, wird jedoch jetzt unter einer Open-Access-Lizenz ver\u00f6ffentlicht.","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"E.\u00a0Ahlers erwirtschaftet Honorare als Dozent und Referent zum Thema (jeweils als Mitarbeiter der HCO Johanniter-Krankenhaus Treuenbrietzen).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}