Evidence map›Paper›PMID 39568389›Full record

ArticleAge and ageing2024

World delirium awareness and quality survey in 2023-a worldwide point prevalence study.

Heidi Lindroth, Keibun Liu, Laura Szalacha, Shelly Ashkenazy, Giuseppe Bellelli, Mark van den Boogaard, Gideon Caplan, Chi Ryang Chung, Muhammed Elhadi, Mohan Gurjar and 13 more

Abstract read
In one paragraph

Article in Age and ageing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Observational
  4. [Treatment of delirium with psychotropic drugs-update 2026].Zeitschrift fur Gerontologie und Geriatrie · 2026
    Review
  5. Article
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  7. [Daylight therapy in intensive care units: a review].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026
    Review
  8. Article
  9. Observational
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  12. Review
  13. Article
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  15. Observational
  16. Article
  17. Article
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  19. When There's Smoke, Look for the Fire: The Complex Interplay Between Delirium and Dementia.American journal of respiratory and critical care medicine · 2025
    Article
  20. Article
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

23 authors.

Heidi LindrothDepartment of Nursing, Division of Nursing Research, Mayo Clinic, Rochester, MN, USA.
Keibun LiuCritical Care Research Group, The Prince Charles Hospital, Brisbane, Australia.
Laura SzalachaDepartment of Nursing, Division of Nursing Research, Mayo Clinic, Rochester, MN, USA.
Shelly AshkenazyGeneral ICU, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Giuseppe BellelliSchool of Medicine and Surgery, Milano-Bicocca University, Milan, Italy.
Mark van den BoogaardDepartment Intensive Care, Radboud University Medica Center, Nijmegen, the Netherlands.
Gideon CaplanDepartment of Geriatric Medicine, Prince of Wales Hospital, Sydney, Australia.
Chi Ryang ChungDepartment of Critical Care Medicine and Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Muhammed ElhadiFaculty of Medicine, University of Tripoli, Tripoli, Libya.
Mohan GurjarDepartment of Critical Care Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, India.ORCID 0000-0002-8489-0324
Gabriel Heras-La-CalleDirector of the International Research Project for the Humanization of Intensive Care Units (Proyecto HU-CI), Madrid, Spain.
Magdalena HoffmanResearch Unit for Safety and Sustainability in Healthcare, c/o Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Marie-Madlen JeitzinerDepartment of Intensive Care Medicine, University Hospital Bern, Bern, Switzerland.
Karla KrewulakDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Calgary, Alberta, Canada.
Tanja MailhotMontreal Heart Institute Research Center, Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada.
Alessandro MorandiIntermediate Care and Rehabilitation, Azienda Speciale Cremona Solidale, Cremona, Italy.
Ricardo Kenji NawaHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Esther S OhDepartments of Medicine, Psychiatry and Behavioral Sciences, and Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Marie Oxenboell ColletDepartment of Intensive Care, Copenhagen University-Rigshospitalet, Copenhagen, Denmark.
Maria Carolina PaulinoDepartment of Intensive Care, Hospital da Luz Lisboa, Lisbon, Portugal.
Rebecca von HakenDepartment of Anesthesiology, University Hospital Mannheim, Mannheim, Germany.
Peter NydahlNursing Research, University Hospital Schleswig-Holstein, Kiel, Germany.ORCID 0000-0002-5178-0364
WDAD Study Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelirium, an acute brain dysfunction, is proposed to be highly prevalent in clinical care and shown to significantly increase the risk of mortality and dementia.

objectivesTo report on the global prevalence of clinically documented delirium and delirium-related clinical practices in wards caring for paediatric and adult patients in healthcare facilities.

designA prospective, cross-sectional, 39-question survey completed on World Delirium Awareness Day, 15 March 2023.

participantsClinicians or researchers with access to clinical data. MAIN OUTCOME AND MEASURE: The primary outcome was the prevalence of clinically documented delirium at 8:00 a.m. (4 h) and 8:00 p.m. (±4 h). Secondary outcomes included delirium-related care practices and barriers to use. Descriptive statistics were calculated and multilevel modelling was completed.

results1664 wards submitted surveys from 44 countries, reporting on delirium assessments at 8:00 a.m. (n = 36 048) and 8:00 p.m. (n = 32 867); 61% reported use of validated delirium assessment tools. At 8:00 a.m., 18% (n = 2788/15 458) and at 8:00 p.m., 17.7% (n = 2454/13 860) were delirium positive. Top prevention measures were pain management (86.7%), mobilisation (81.4%) and adequate fluids (80.4%). Frequently reported pharmacologic interventions were benzodiazepines (52.7%) and haloperidol (46.2%). Top barriers included the shortage of staff (54.3%), lack of time to educate staff (48.6%) and missing knowledge about delirium (38%). CONCLUSION AND RELEVANCE: In this study, approximately one out of five patients were reported as delirious. The reported high use of benzodiazepines needs further evaluation as it is not aligned with best-practice recommendations. Findings provide a benchmark for future quality improvement projects and research.

Indexed as

DeliriumAdultAgedCross-Sectional StudiesFemaleGlobal HealthHealth Care SurveysHealth Knowledge, Attitudes, PracticeHumansMalePrevalenceProspective StudiesSurveys and Questionnairescross-sectional studiesdelivery of health careglobal delirium prevalenceolder peoplestandard of practice

Identifiers

PMID39568389
PMCPMC11579530

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.