ArticleMedicina (Kaunas, Lithuania)2019
The Scottish Intercollegiate Guidelines Network (SIGN) 157: Guidelines on Risk Reduction and Management of Delirium.
Article in Medicina (Kaunas, Lithuania), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 6 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Effectiveness of drug interventions to prevent delirium after surgery for older adults: systematic review and network meta-analysis of randomised controlled trials.BMJ (Clinical research ed.) · 2026Pooled it
- Medication-induced causes of delirium in patients with and without dementia: a systematic review of published neurology guidelines.International journal of clinical pharmacy · 2025Pooled it
- Guideline summary: assessment, diagnosis, care and support for people with dementia and their carers [Scottish Intercollegiate Guidelines Network SIGN Guideline 168].Age and ageing · 2024Guideline
- The experience of delirium in palliative care settings for patients, family, clinicians and volunteers: A qualitative systematic review and thematic synthesis.Palliative medicine · 2021Pooled it
- Diagnostic accuracy of the 4AT for delirium detection in older adults: systematic review and meta-analysis.Age and ageing · 2021Pooled it
- Diagnostic Test Accuracy of the 4AT for Delirium Detection: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2020Pooled it
- Population-based incidence rate of in-hospital delirium in older adults in Norway-a HUNT study.Age and ageing · 2026Article
- Bridging the gap in delirium management: a European comparison of geriatric practices.European geriatric medicine · 2026Article
- Large language models vs. conventional search in identifying delirium guidelines for a scoping review.BMC medical research methodology · 2026Article
- Review
- Delirium: more than a marker of baseline vulnerability.Age and ageing · 2026Article
- Knowledge, attitudes, and practices towards family engagement in delirium management among intensive care unit nurses: a multicenter cross-sectional study.BMC nursing · 2026Article
- Effectiveness of Music Therapy for Delirium in Acute Hospital Settings: A Scoping Review.Nursing reports (Pavia, Italy) · 2026Review
- Case Report: Interdisciplinary approach to managing behavioural and psychological symptoms of dementia and delirium in acute care.Frontiers in dementia · 2026Article
- Article
- Delirium prevalence and management in general wards, emergency departments, rehabilitation centres and nursing homes in Germany, Austria and Switzerland (DACH countries): A secondary analysis of a worldwide point prevalence study.International journal of nursing studies advances · 2025Article
- Using scores from the 4AT delirium detection tool as an indicator of possible dementia: a study of 75 221 older adult hospital admissions.Age and ageing · 2025Article
- What are the experiences and support needs of district nurses caring for terminally ill people with delirium at home? A qualitative study.BMC palliative care · 2025Article
- Advancing Delirium Treatment Trials in Older Adults: Recommendations for Future Trials From the Network for Investigation of Delirium: Unifying Scientists (NIDUS).Critical care medicine · 2025Article
- Neurological diagnostic tests for patients with and without delirium: a prospective observational study.GeroScience · 2024Observational
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Scottish Intercollegiate Guidelines Network (SIGN) guideline on delirium is a major advance on existing guidelines on this condition. This is particularly important given the evidence it is frequently under-diagnosed and inadequately managed despite being common and frequently associated with significant patient and carer distress and poor outcomes. The guidelines recommend using the 4A's test to help detect delirium. A bundle of mostly non-pharmacological therapies minimise the risk of developing delirium and can help those who develop the condition. The importance of medical optimisation by an experienced professional in those at risk of delirium is highlighted with new recommendations for people in intensive care and surgical settings. There is guidance on follow-up of people with delirium, which should become routine. This commentary piece focusses on areas with the greatest potential to improve the experience and outcomes of those with delirium, and briefly discusses areas of ongoing uncertainty.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.