Evidence map›Paper›PMID 39023695›Full record

ArticleEuropean geriatric medicine2024

Delirium prevalence and delirium literacy across Italian hospital wards: a secondary analysis of data from the World Delirium Awareness Day 2023.

Alice Margherita Ornago, Elena Pinardi, Chukwuma Okoye, Paolo Mazzola, Maria Cristina Ferrara, Alberto Finazzi, Peter Nydahl, Rebecca von Haken, Heidi Lindroth, Keibun Liu and 4 more

Abstract read
In one paragraph

Article in European geriatric medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

14 authors.

Alice Margherita Ornago *School of Medicine and Surgery, University of Milano-Bicocca, Piazza Dell'Ateneo Nuovo 1, Milan, Italy. a.ornago@campus.unimib.it.ORCID http://orcid.org/0009-0008-7927-793X
Elena Pinardi *School of Medicine and Surgery, University of Milano-Bicocca, Piazza Dell'Ateneo Nuovo 1, Milan, Italy.
Chukwuma OkoyeSchool of Medicine and Surgery, University of Milano-Bicocca, Piazza Dell'Ateneo Nuovo 1, Milan, Italy.
Paolo MazzolaSchool of Medicine and Surgery, University of Milano-Bicocca, Piazza Dell'Ateneo Nuovo 1, Milan, Italy.
Maria Cristina FerraraSchool of Medicine and Surgery, University of Milano-Bicocca, Piazza Dell'Ateneo Nuovo 1, Milan, Italy.
Alberto FinazziSchool of Medicine and Surgery, University of Milano-Bicocca, Piazza Dell'Ateneo Nuovo 1, Milan, Italy.
Peter NydahlNursing Research, University Hospital Schleswig-Holstein, Kiel, Germany.
Rebecca von HakenDepartment of Anesthesiology, University Hospital Mannheim, Mannheim, Germany.
Heidi LindrothDivision of Nursing Research, Department of Nursing, Mayo Clinic, Rochester, MN, USA.
Keibun LiuCritical Care Research Group, The Prince Charles Hospital, Brisbane, Australia.
Alessandro Morandi *Intermediate Care and Rehabilitation, Azienda Speciale Cremona Solidale, Cremona, Italy.
Giuseppe Bellelli *School of Medicine and Surgery, University of Milano-Bicocca, Piazza Dell'Ateneo Nuovo 1, Milan, Italy.
National Collaborators
Italian Participating Clinicians

Funding

Harnessing the Power of Technology to Transform Delirium Severity Measurement in the ICUK23AG076662 · NIA · MAYO CLINIC ROCHESTER · PI Heidi Lindroth · 2022 to 2026
$815k
NIA NIH HHS K23 AG076662
6 · The paper itself

Abstract

purposeDelirium, a common medical emergency among hospitalized patients, requires effective detection and management protocols. This study aims to evaluate the delirium point prevalence and its management across Italian hospitals, categorized by delirium literacy levels. Additionally, it seeks to identify prevailing barriers and future priorities in delirium practice and research.

methodsWe analyzed data from World Delirium Awareness Day (WDAD) on March 15th, 2023, collected by participating clinicians in Italian hospitals. High delirium literacy (HL) was determined based on the use of validated delirium assessment tools and the presence of a written protocol for delirium management. Conversely, low delirium literacy (LL) was determined by meeting only one or neither of these criteria.

resultsFifty-eight hospital wards participated in the survey, with 25 (43.1%) classified as HL. The overall reported point prevalence of delirium was found to be approximately 10%. Notably, the reported prevalence was twice as high in the HL group compared to the LL group. Despite minimal differences compared to the other group, the HL group demonstrated greater adherence to appropriate delirium management strategies, encompassing both non-pharmacological and pharmacological strategies. Critical gaps in delirium care emerged, including suboptimal management practices, barriers to implementing evidence-based strategies, and insufficient awareness and training among professionals.

conclusionThe study highlights the suboptimal identification and management of delirium among Italian hospitals, emphasizing the necessity of enhancing awareness and implementing evidence-based strategies. Addressing these shortcomings is crucial for optimizing delirium care, improving patient outcomes, and mitigating the burden of delirium in hospital settings.

Indexed as

DeliriumFemaleHealth Knowledge, Attitudes, PracticeHealth LiteracyHumansItalyMalePrevalenceSurveys and QuestionnairesDeliriumHospitalQuality improvementSurvey

Identifiers

PMID39023695
PMCPMC11614987

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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.