{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:57:16Z","timestamp":1792112236822,"version":"4.4.0"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,1,22]],"date-time":"2021-01-22T00:00:00Z","timestamp":1611273600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Delirium is a common presentation in older inpatients with coronavirus disease 2019 (COVID-19), and a risk factor for cognitive decline at discharge. The glaring gaps in the service provision in delirium care, regardless of aetiology, after a hospital admission pre-existed the pandemic, but the pandemic arguably offers an opportunity now to address them. Whilst a delirium episode in itself is not a long-term condition, the context of it may well be, and therefore patients might benefit from personalised care and support planning. There is no reason to believe that the delirium following COVID-19 is fundamentally different from any other delirium. We propose that the needs of older patients who have experienced delirium including from COVID-19 could be addressed through a new model of post-acute delirium care that combines early supported discharge, including discharge-to-assess, with community-based follow-up to assess for persistent delirium and early new long-term cognitive impairment. Such a drive could be structurally integrated with existing memory clinic services. To succeed, such an ambition has to be flexible, adaptable and person-centred. To understand the impact on resource and service utilisation, techniques of quality improvement should be implemented, and appropriate metrics reflecting both process and outcome will be essential to underpin robust and sustainable business cases to support implementation of delirium care as a long-term solution.<\/jats:p>","DOI":"10.1093\/ageing\/afab014","type":"journal-article","created":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T00:20:03Z","timestamp":1610670003000},"page":"601-604","source":"Crossref","is-referenced-by-count":11,"title":["Follow-up services for delirium after COVID-19\u2014where now?"],"prefix":"10.1093","volume":"50","author":[{"given":"Shibley","family":"Rahman","sequence":"first","affiliation":[{"name":"NHS Practitioner Health , Riverside Medical Centre, St George Wharf, Wandsworth Road, London SW8 2JB,","place":["UK"]},{"name":"UCL Institute of Cardiovascular Science , 1-19 Torrington Place, Room 509, London WC1E 7HB,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kit","family":"Byatt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,1,22]]},"reference":[{"key":"2024103109373304000_ref1","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1093\/ageing\/afaa040","article-title":"The consistent burden in published estimates of delirium occurrence in medical inpatients over four decades: a systematic review and meta-analysis study","volume":"49","author":"Gibb","year":"2020","journal-title":"Age Ageing"},{"key":"2024103109373304000_ref2","first-page":"1","article-title":"Presenting features of COVID-19 in older people: relationships with frailty, inflammation and mortality","author":"Knopp","year":"2020","journal-title":"Eur Geriatr Med"},{"key":"2024103109373304000_ref3","doi-asserted-by":"crossref","DOI":"10.1093\/ageing\/afaa223","article-title":"Probable delirium is a presenting symptom of COVID-19 in frail, older adults: a cohort study of 322 hospitalised and 535 community-based older adults","volume":"50","author":"Zazzara","year":"2021","journal-title":"Age Ageing"},{"key":"2024103109373304000_ref4","first-page":"100524","article-title":"Delirium: a suggestive sign of COVID-19 in dementia","volume":"26","author":"Wang","year":"2020","journal-title":"EClinMed"},{"key":"2024103109373304000_ref5","doi-asserted-by":"crossref","first-page":"m3026","DOI":"10.1136\/bmj.m3026","article-title":"Management of post-acute covid-19 in primary care","volume":"370","author":"Greenhalgh","year":"2020","journal-title":"BMJ"},{"key":"2024103109373304000_ref6","doi-asserted-by":"crossref","first-page":"fcaa205","DOI":"10.1093\/braincomms\/fcaa205","article-title":"Frequent neurocognitive deficits after recovery from mild COVID-19","volume":"2","year":"2020","journal-title":"Brain Commun"},{"key":"2024103109373304000_ref7","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1093\/ageing\/afu152","article-title":"Defining `follow-up' for delirium research: a systematic review","volume":"44","author":"Adamis","year":"2015","journal-title":"Age Ageing"},{"key":"2024103109373304000_ref8","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1001\/archinte.167.13.1406","article-title":"Risk factors for delirium at discharge: development and validation of a predictive model","volume":"167","author":"Inouye","year":"2007","journal-title":"Arch Intern Med"},{"key":"2024103109373304000_ref9","article-title":"Deconditioning awareness","author":"British Geriatrics Society"},{"key":"2024103109373304000_ref10","doi-asserted-by":"crossref","first-page":"1498","DOI":"10.1016\/j.clnu.2017.08.027","article-title":"GLISTEN group investigators. The association between delirium and sarcopenia in older adult patients admitted to acute geriatrics units: results from the GLISTEN multicenter observational study","volume":"37","author":"Bellelli","year":"2018","journal-title":"Clin Nutr"},{"key":"2024103109373304000_ref11","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1001\/jamaneurol.2020.2273","article-title":"Association of Delirium with long-term cognitive decline: a meta-analysis","volume":"77","author":"Goldberg","year":"2020","journal-title":"JAMA Neurol"},{"key":"2024103109373304000_ref12","author":"Hospital Discharge Service: Policy and Operating Model"},{"key":"2024103109373304000_ref13","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2318-5-5","article-title":"Incomplete functional follow-up after delirium in elderly people: a prospective cohort study","volume":"5","author":"Andrew","year":"2005","journal-title":"BMC Geriatr"},{"key":"2024103109373304000_ref14","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1017\/S1041610209991517","article-title":"Factors associated with prolonged delirium: a systematic review","volume":"22","author":"Dasgupta","year":"2010","journal-title":"Int Psychogeriatr"},{"key":"2024103109373304000_ref15","article-title":"Early supported discharge trialists. Early supported discharge services for people with acute stroke","volume":"7","author":"Langhorne","year":"2017","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Age and Ageing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ageing\/advance-article-pdf\/doi\/10.1093\/ageing\/afab014\/36274533\/afab014.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/50\/3\/601\/60258530\/afab014.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/50\/3\/601\/60258530\/afab014.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T10:01:26Z","timestamp":1730368886000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ageing\/article\/50\/3\/601\/6106229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,22]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,5,5]]}},"URL":"https:\/\/doi.org\/10.1093\/ageing\/afab014","relation":{},"ISSN":["0002-0729","1468-2834"],"issn-type":[{"value":"0002-0729","type":"print"},{"value":"1468-2834","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,5]]},"published":{"date-parts":[[2021,1,22]]}}}