Evidence map›Paper›PMID 37209412›Full record

Observational studyNursing open2023

Delirium screening in a stroke unit by nurses using 4AT: Results from a quality improvement project.

Håkon Ihle-Hansen, Nina Johnsen, Tatiana Jankowiak, Guri Hagberg, Marte M Walle-Hansen, Ida Landgraff, Gunnhild Høvik, Else Graven, Marius Myrstad

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Nursing open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Håkon Ihle-HansenDepartment of Medicine, Baerum Hospital, Vestre Viken Hospital Trust, Drammen, Norway.ORCID 0000-0001-7111-5970
Nina JohnsenDepartment of Medicine, Baerum Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Tatiana JankowiakDepartment of Medicine, Baerum Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Guri HagbergDepartment of Medical Research, Baerum Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Marte M Walle-HansenDepartment of Medical Research, Baerum Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Ida LandgraffDepartment of Medicine, Baerum Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Gunnhild HøvikDepartment of Medicine, Baerum Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Else GravenDepartment of Medicine, Baerum Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Marius MyrstadDepartment of Medicine, Baerum Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Vestre Viken Hospital Trust · NOOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the feasibility of delirium screening with the screening tool 4AT conducted by stroke unit nurses.

designObservational.

methodsPatients with confirmed acute stroke admitted to the stroke unit at Baerum Hospital, Norway, from March to October 2020, were consecutively recruited. Nurses performed delirium screening using the rapid screening tool 4AT within 24 h of admission, at discharge and when delirium was suspected, and filled out a questionnaire assessing their experiences with the delirium screening. A geriatrician validated the delirium diagnosis.

resultsIn all, 62 patients were included, mean age 73.3 years. 4AT was performed according to protocol in 49 (79.0%) and 39 (62.9%) patients at admission and discharge respectively. Lack of time (40%) was reported as the most common reason for not performing delirium screening. The nurses reported that the felt competent to carry out the 4AT screening, and did not experience it as significant extra workload. Five patients (8%) were diagnosed with delirium. Delirium screening performed by stroke unit nurses seemed feasible and the nurses experienced that 4AT was a useful tool for this purpose.

Indexed as

DeliriumStrokeAgedHospitalizationHumansQuality ImprovementSensitivity and Specificity4ATdeliriumminor strokenursepost-stroke

Identifiers

PMID37209412
PMCPMC10563406
OpenAlexW4377145634

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.