{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:47:51Z","timestamp":1747172871612,"version":"3.40.5"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T00:00:00Z","timestamp":1606089600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ir. j. psychol. Med."],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec id=\"S0790966720000981_as1\"><jats:title>Objectives:<\/jats:title><jats:p>Over 50% of inpatients with neurological disorders may present with a co-morbid psychiatric illness. Delirium has a reported point prevalence of 20% in hospital inpatients and is frequently undetected. We aimed to (1) examine inpatient referrals to a Liaison Neuropsychiatry service and (2) review the diagnosis and management of delirium before and after an educational intervention.<\/jats:p><\/jats:sec><jats:sec id=\"S0790966720000981_as2\"><jats:title>Methods:<\/jats:title><jats:p>An initial 6-month audit of referrals to the inpatient Liaison Neuropsychiatry service was conducted in 2018. We then undertook a psychoeducational intervention to raise awareness of the diagnosis and management of delirium. We conducted a re-audit of referrals to the service in 2019.<\/jats:p><\/jats:sec><jats:sec id=\"S0790966720000981_as3\"><jats:title>Results:<\/jats:title><jats:p>On initial audit, of 84 referrals, the most common referral was for mood (38%; <jats:italic>n<\/jats:italic> = 32). Just 4% (<jats:italic>n<\/jats:italic> = 3) had a specific delirium query. Following assessment by Neuropsychiatry, organic disorders (43%; <jats:italic>n<\/jats:italic> = 32), including delirium (33%; <jats:italic>n<\/jats:italic> = 25), were the most common diagnoses. On re-audit, of 86 referrals, mood assessment remained the most common reason for referral (38%; <jats:italic>n<\/jats:italic> = 33) and 2% (<jats:italic>n<\/jats:italic> = 2) were referred for possible delirium. Organic disorders remained the most common diagnoses (53%; <jats:italic>n<\/jats:italic> = 45) including delirium (38%; <jats:italic>n<\/jats:italic> = 32). We found a significant increase in the use of the delirium protocol from 12% (<jats:italic>n<\/jats:italic> = 3) on initial audit to 47% (<jats:italic>n<\/jats:italic> = 15); <jats:italic>p<\/jats:italic> &lt; 0.01 on re-audit despite no increase in the number of specific delirium queries.<\/jats:p><\/jats:sec><jats:sec id=\"S0790966720000981_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>A psychoeducational intervention improves the management of delirium by Neurologists and Neurosurgeons in patients with brain disorders.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ipm.2020.98","type":"journal-article","created":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T08:32:05Z","timestamp":1606120325000},"page":"273-281","source":"Crossref","is-referenced-by-count":1,"title":["A psychoeducational intervention increases use of a delirium protocol by Neurologists and Neurosurgeons in patients with brain disorders"],"prefix":"10.1017","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5141-3591","authenticated-orcid":false,"given":"S.","family":"Patel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7128-7246","authenticated-orcid":false,"given":"C.","family":"Carey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Cotter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. C.","family":"Murphy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,11,23]]},"reference":[{"key":"S0790966720000981_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14259"},{"key":"S0790966720000981_ref12","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2006.103044"},{"key":"S0790966720000981_ref6","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp201"},{"key":"S0790966720000981_ref9","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-156-12-201206190-00005"},{"key":"S0790966720000981_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2015.08.006"},{"key":"S0790966720000981_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2003.08.003"},{"volume-title":"The American Psychiatric Publishing Textbook of Psychosomatic Medicine","year":"2005","author":"Levenson","key":"S0790966720000981_ref17"},{"key":"S0790966720000981_ref8","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu154"},{"key":"S0790966720000981_ref25","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1001\/jama.2010.1013","article-title":"Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta-analysis","volume":"304","author":"Witlox","year":"2010","journal-title":"JAMA"},{"key":"S0790966720000981_ref19","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2006.109058"},{"key":"S0790966720000981_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2008.05.024"},{"key":"S0790966720000981_ref21","doi-asserted-by":"crossref","first-page":"e001772","DOI":"10.1136\/bmjopen-2012-001772","article-title":"Delirium in an adult acute hospital population: predictors, prevalence and detection","volume":"3","author":"Ryan","year":"2013","journal-title":"BMJ Open"},{"key":"S0790966720000981_ref23","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp007"},{"key":"S0790966720000981_ref20","doi-asserted-by":"publisher","DOI":"10.1017\/S0790966700000689"},{"volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2013","key":"S0790966720000981_ref1"},{"key":"S0790966720000981_ref10","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.50.3.234"},{"key":"S0790966720000981_ref14","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1093\/ageing\/aft159","article-title":"Specialty experience in geriatric medicine is associated with a small increase in knowledge of delirium","volume":"43","author":"Jenkin","year":"2014","journal-title":"Age and Ageing"},{"key":"S0790966720000981_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.289.6446.656"},{"key":"S0790966720000981_ref18","doi-asserted-by":"publisher","DOI":"10.3928\/0098-9134-20021101-07"},{"key":"S0790966720000981_ref24","doi-asserted-by":"crossref","first-page":"e023386","DOI":"10.1136\/bmjopen-2018-023386","article-title":"Can delirium research activity impact on routine delirium recognition? A prospective cohort study","volume":"8","author":"Welch","year":"2018","journal-title":"BMJ Open"},{"key":"S0790966720000981_ref5","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.68.2.207"},{"key":"S0790966720000981_ref11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0194029"},{"key":"S0790966720000981_ref13","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afw066"},{"key":"S0790966720000981_ref7","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.74.6.817"},{"key":"S0790966720000981_ref22","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-12-55"}],"container-title":["Irish Journal of Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0790966720000981","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T11:34:40Z","timestamp":1686224080000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0790966720000981\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,23]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["S0790966720000981"],"URL":"https:\/\/doi.org\/10.1017\/ipm.2020.98","relation":{},"ISSN":["0790-9667","2051-6967"],"issn-type":[{"type":"print","value":"0790-9667"},{"type":"electronic","value":"2051-6967"}],"subject":[],"published":{"date-parts":[[2020,11,23]]}}}