{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T19:53:59Z","timestamp":1794340439874,"version":"4.9.0"},"reference-count":54,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T00:00:00Z","timestamp":1732147200000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Delirium, an acute brain dysfunction, is proposed to be highly prevalent in clinical care and shown to significantly increase the risk of mortality and dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To report on the global prevalence of clinically documented delirium and delirium-related clinical practices in wards caring for paediatric and adult patients in healthcare facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A prospective, cross-sectional, 39-question survey completed on World Delirium Awareness Day, 15 March 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Clinicians or researchers with access to clinical data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome and Measure<\/jats:title>\n                    <jats:p>The primary outcome was the prevalence of clinically documented delirium at 8:00 a.m. (4\u00a0h) and 8:00 p.m. (\u00b14\u00a0h). Secondary outcomes included delirium-related care practices and barriers to use. Descriptive statistics were calculated and multilevel modelling was completed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>1664 wards submitted surveys from 44 countries, reporting on delirium assessments at 8:00\u00a0a.m. (n\u2009=\u200936\u00a0048) and 8:00\u00a0p.m. (n\u2009=\u200932\u00a0867); 61% reported use of validated delirium assessment tools. At 8:00\u00a0a.m., 18% (n\u2009=\u20092788\/15\u00a0458) and at 8:00\u00a0p.m., 17.7% (n\u2009=\u20092454\/13\u00a0860) were delirium positive. Top prevention measures were pain management (86.7%), mobilisation (81.4%) and adequate fluids (80.4%). Frequently reported pharmacologic interventions were benzodiazepines (52.7%) and haloperidol (46.2%). Top barriers included the shortage of staff (54.3%), lack of time to educate staff (48.6%) and missing knowledge about delirium (38%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion and Relevance<\/jats:title>\n                    <jats:p>In this study, approximately one out of five patients were reported as delirious. The reported high use of benzodiazepines needs further evaluation as it is not aligned with best-practice recommendations. Findings provide a benchmark for future quality improvement projects and research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ageing\/afae248","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T10:04:41Z","timestamp":1730282681000},"source":"Crossref","is-referenced-by-count":40,"title":["World delirium awareness and quality survey in 2023\u2014a worldwide point prevalence study"],"prefix":"10.1093","volume":"53","author":[{"given":"Heidi","family":"Lindroth","sequence":"first","affiliation":[{"name":"Department of Nursing , Division of Nursing Research, , Rochester, MN,","place":["USA"]},{"name":"Mayo Clinic , Division of Nursing Research, , Rochester, MN,","place":["USA"]},{"name":"Center for Aging Research , Regenstrief Institute, Center for Health Innovation and Implementation Science, School of Medicine, , Indianapolis, IN,","place":["USA"]},{"name":"Indiana University , Regenstrief Institute, Center for Health Innovation and 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