{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T23:14:40Z","timestamp":1790723680525,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009130","name":"Programme Development Grants","doi-asserted-by":"publisher","award":["NIHR204591"],"award-info":[{"award-number":["NIHR204591"]}],"id":[{"id":"10.13039\/501100009130","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Delirium is the most common sign of acute brain dysfunction and is prevalent in ICUs. This work is part of a UK National Institute of Health and Social Care Research\u2010funded Programme Development Grant to identify optimal approaches to prevent, identify and manage ICU delirium in the UK. This survey aimed to provide a baseline for contemporary practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A structured online survey was designed and sent to all ICUs in England, Wales and Northern Ireland, identified through the Intensive Care National Audit and Research Centre Case Mix Programme. Participants were asked to provide a response that reflected ICU\u2010level care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The ICU participant response rate was 249\/268 (93%). Of these, 222\/249 (89%) ICUs screened for ICU delirium routinely and 208\/222 (94%) used the CAM\u2010ICU tool. Delirium care packages were applied by 125\/249 (50%) ICUs, but 81\/125 (68%) conveyed that this was not consistent for all patients. Both antipsychotics and benzodiazepines are used commonly to manage delirium. All respondents stated that early mobilisation; early removal of invasive catheters; maintenance of hearing aids\/glasses; regular mealtimes; and daytime activity were used as non\u2010pharmaceutical delirium management strategies. Enhanced follow\u2010up was reported by 195\/249 (79%) respondents, either routinely or for selected cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Only half of UK ICUs use a standardised care package to prevent and manage ICU delirium, with inconsistent implementation. Future work should focus on the development and evaluation of an evidence\u2010based and sustainable care package.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anae.16728","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T06:11:56Z","timestamp":1754979116000},"page":"41-50","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Delirium identification, prevention and management in intensive care units in England, Wales and Northern Ireland: a survey of practice"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3635-6212","authenticated-orcid":false,"given":"Ben","family":"Gibbison","sequence":"first","affiliation":[{"name":"Bristol Medical School University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia Francis","family":"Johnson","sequence":"additional","affiliation":[{"name":"Intensive Care National Audit and Research Centre  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn M.","family":"Rowan","sequence":"additional","affiliation":[{"name":"Intensive Care National Audit and Research Centre  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roxanne","family":"Parslow","sequence":"additional","affiliation":[{"name":"Bristol Medical School University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Moore","sequence":"additional","affiliation":[{"name":"Bristol Medical School University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah C.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Health Services Research and Policy London School of Hygiene &amp; Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Long","sequence":"additional","affiliation":[{"name":"OPTIC Study Group University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly","family":"Potter","sequence":"additional","affiliation":[{"name":"OPTIC Study Group University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Pufulete","sequence":"additional","affiliation":[{"name":"Bristol Medical School University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the OPTIC Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_6_3_1","unstructured":"World Health Organization.ICD\u201010: International statistical classification of diseases and related health problems: 10th\u00a0revision. 2016.https:\/\/iris.who.int\/handle\/10665\/246208(accessed 15\/07\/2025)."},{"key":"e_1_2_6_4_1","unstructured":"NHS England.Hospital episode statistics. Admitted patient care \u2013 critical care.https:\/\/digital.nhs.uk\/services\/hospital\u2010episode\u2010statistics(accessed 01\/07\/2025)."},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15466"},{"key":"e_1_2_6_6_1","unstructured":"Public Health Scotland Audit of critical care. 2022.https:\/\/publichealthscotland.scot\/publications\/audit\u2010of\u2010critical\u2010care\u2010in\u2010nhsscotland\/audit\u2010of\u2010critical\u2010care\u2010in\u2010scotland\u20102023\u2010reporting\u2010on\u20102022\/(accessed 01\/07\/2025)."},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc9333"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1208705"},{"key":"e_1_2_6_9_1","unstructured":"Intensive Care Society.Guidance for delirium in the critically ill patient. 2024.https:\/\/ics.ac.uk\/resource\/guidance\u2010for\u2010delirium\u2010in\u2010the\u2010critically\u2010ill\u2010patient\u2010pdf.html(accessed 01\/07\/2025)."},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/ccm.0000000000003299"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/xeb.0000000000000470"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13874"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13613\u2010022\u201000985\u2010y"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcp194"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2014.06.004"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20107\u201037"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.2005.00621.x"},{"key":"e_1_2_6_18_1","unstructured":"Faculty of Intensive Care Medicine.Guidelines for the provision of intensive care services v2.1. 2022.https:\/\/www.ficm.ac.uk\/standards\/guidelines\u2010for\u2010the\u2010provision\u2010of\u2010intensive\u2010care\u2010services#:~:text=GPICS%20v2. )%2C%20administered%20by%20the%20Faculty(accessed 15\/07\/2025)."},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201012\u20101961OC"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/08850666221109157"},{"key":"e_1_2_6_21_1","unstructured":"NIHR\/James Lind Alliance.Priority Setting Partnership: Intensive care top 10.https:\/\/www.jla.nihr.ac.uk\/priority\u2010setting\u2010partnerships\/intensive\u2010care(accessed 23\/07\/2025)."}],"container-title":["Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anae.16728","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T20:50:10Z","timestamp":1767041410000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1111\/anae.16728"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,11]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/anae.16728"],"URL":"https:\/\/doi.org\/10.1111\/anae.16728","archive":["Portico"],"relation":{},"ISSN":["0003-2409","1365-2044"],"issn-type":[{"value":"0003-2409","type":"print"},{"value":"1365-2044","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,11]]},"assertion":[{"value":"2025-07-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}