{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T23:12:39Z","timestamp":1789945959748,"version":"4.0.1"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T00:00:00Z","timestamp":1666828800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T00:00:00Z","timestamp":1666828800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100010109","name":"Medical University of Graz","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100010109","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Z Gerontol Geriat"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Ein die Demenz \u00fcberlagerndes Delir (\u201edelirium superimposed on dementia\u201c, DSD) ist ein weit verbreitetes, aber h\u00e4ufig unerkanntes Problem. Ein solches Delir mindert die Lebensqualit\u00e4t von Patient\/-innen mit einer Demenzerkrankung erheblich. Das Bewusstsein f\u00fcr dieses Zustandsbild muss bei Gesundheitsfachpersonen gesch\u00e4rft werden, um dessen Entwicklung fr\u00fchzeitig erkennen und von Demenz ohne Delir unterscheiden zu k\u00f6nnen und dementsprechend zu behandeln.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel des Beitrages<\/jats:title>\n                <jats:p>Dieser Review beschreibt den bisherigen Stand der erforschten diagnostischen, pr\u00e4ventiven und therapeutischen Methoden im Umgang mit DSD.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Eine umfassende Literaturrecherche mit den Begriffen \u201eDemenz\u201c, \u201eDelir\u201c, \u201eDelirium superimposed on dementia\u201c und \u201eDSD\u201c wurde in der Datenbank PubMed durchgef\u00fchrt, ebenso wie Literaturrecherchen \u00fcber Google-Scholar.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die diagnostischen M\u00f6glichkeiten zur Detektion von DSD sind zurzeit auf Instrumente zur alleinigen Delirdiagnostik beschr\u00e4nkt, wie etwa die Confusion Assessment Method. Ein regelm\u00e4\u00dfiges multiprofessionelles Screening der Risikopatient\/-innen ist zur fr\u00fchen Detektion und Pr\u00e4vention dieser Erkrankung essenziell. Auch die Behandlung erfordert einen interdisziplin\u00e4ren Zugang. Eine pharmakologische Therapie ist indiziert, wenn nichtpharmakologische Ma\u00dfnahmen nicht ausreichen oder zur Behandlung von delirausl\u00f6senden Ursachen. Im Vordergrund stehen die psychische und physische Betreuung der Patient\/-innen und die Beseitigung von Risikofaktoren f\u00fcr die Entwicklung eines DSD.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>DSD ist ein ernst zu nehmendes Syndrom. Noch gibt es keinen Goldstandard in der Diagnostik und Therapie. Multikomponente nichtpharmakologische Interventionsprogramme reduzieren nachweislich die Inzidenz eines Delirs. Deren Nutzen bei DSD muss in gro\u00dfen multizentrischen Studien \u00fcberpr\u00fcft werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00391-022-02125-4","type":"journal-article","created":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T15:23:35Z","timestamp":1666884215000},"page":"587-592","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Delir bei Demenz","Delirium superimposed on dementia"],"prefix":"10.1007","volume":"56","author":[{"given":"Johanna","family":"De Biasi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Reininghaus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Schoberer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,10,27]]},"reference":[{"key":"2125_CR1","doi-asserted-by":"publisher","first-page":"1058","DOI":"10.1007\/s00115-020-00923-y","volume":"91","author":"JR Thyrian","year":"2020","unstructured":"Thyrian\u00a0JR, Boekholt\u00a0M, Hoffmann\u00a0W et\u00a0al (2020) The prevalence of people with dementia in Germany\u2014A nationwide analysis at the district level. 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