{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T22:58:42Z","timestamp":1768345122164,"version":"3.49.0"},"reference-count":65,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"SABES-South Tyrolean Fund for the Promotion of Scientific Research","award":["CUP J53C24004030003"],"award-info":[{"award-number":["CUP J53C24004030003"]}]},{"name":"Claudiana-College of Health Professions, Bozen, Italy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics"],"abstract":"<jats:p>Background\/Objectives: Postoperative Delirium (POD) is a frequent complication in older patients undergoing elective surgery. Although multicomponent interventions are effective, deficits in interdisciplinary communication and intersectoral collaboration persist. This study developed and evaluated the \u201cGeriatric Delirium Pass (GeDePa)\u201d, a paper-based tool to systematically document risk factors for POD across care settings. Methods: A multi-method design was applied, comprising (i) a structured literature review, (ii) semi-structured expert interviews, and (iii) a standardized online survey utilizing the RAND\/UCLA Appropriateness Method (RAM). A total of 21 healthcare professionals (general practitioners, geriatricians, anaesthetists, surgeons, and nurses) were recruited from Salzburg, Austria, and South Tyrol, Italy (2023\u20132024). Results: Healthcare professionals confirmed the GeDePa\u2019s practical applicability for early POD risk detection across care settings. The expert rating using the RAM Disagreement Index (DI) method deemed all 45 risk factors as sufficiently relevant and, with the exemption of two risk factors (alcohol use, intraoperative complications), feasible. A detailed analysis provided a more differentiated picture, with full consensus reached for only 18 items. Several factors with uncertain consensus (e.g., cognitive impairment and polypharmacy) were retained based on strong evidence in the literature. Others were excluded despite high ratings if they were considered redundant or impractical (e.g., detailed intraoperative complications). In total, 38 of the 45 risk factors were retained. Conclusions: The GeDePa is a feasible and relevant tool for structured delirium risk assessment and enhancing interdisciplinary communication between primary and hospital care. The finalized German and Italian versions are now available and will undergo further testing and implementation in clinical practice.<\/jats:p>","DOI":"10.3390\/geriatrics11010010","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T15:52:57Z","timestamp":1768319577000},"page":"10","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Relevance and Feasibility of a \u201cGeriatric Delirium Pass\u201d for Older Patients with Elective Surgeries: Findings from a Multi-Methods Study"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2029-2552","authenticated-orcid":false,"given":"Patrick","family":"Kutschar","sequence":"first","affiliation":[{"name":"Institute of Nursing Science and Practice, Center for Public Health and Healthcare Research, Paracelsus Medical University, 5020 Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1218-5191","authenticated-orcid":false,"given":"Chiara","family":"Muzzana","sequence":"additional","affiliation":[{"name":"Claudiana Research, Claudiana-College of Health Professions, 39100 Bozen, Italy"},{"name":"Institute of Nursing Science and Practice, Paracelsus Medical University, 5020 Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5788-9574","authenticated-orcid":false,"given":"Simon","family":"Krutter","sequence":"additional","affiliation":[{"name":"Institute of Nursing Science and Practice, Center for Public Health and Healthcare Research, Paracelsus Medical University, 5020 Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid","family":"Ruffini","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Hospital Meran (SABES-ASDAA), 39012 Merano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6132-8670","authenticated-orcid":false,"given":"Bernhard","family":"Iglseder","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, University Hospital Salzburg (SALK-Campus CDK), Paracelsus Medical University, 5020 Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1974-4184","authenticated-orcid":false,"given":"Giuliano","family":"Piccoliori","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bozen, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0816-6657","authenticated-orcid":false,"given":"Maria","family":"Flamm","sequence":"additional","affiliation":[{"name":"Institute of General Practice, Family Medicine and Preventive Medicine, Center for Public Health and Healthcare Research, Paracelsus Medical University, 5020 Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0319-4766","authenticated-orcid":false,"given":"Dietmar","family":"Ausserhofer","sequence":"additional","affiliation":[{"name":"Claudiana Research, Claudiana-College of Health Professions, 39100 Bozen, Italy"},{"name":"Institute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bozen, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1097\/ACO.0000000000000907","article-title":"Postoperative delirium: Why, what, and how to confront it at your institution","volume":"33","author":"Curtis","year":"2020","journal-title":"Curr. 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