ArticleHealthcare (Basel, Switzerland)2026
Nurses' Compliance with Delirium Assessment Protocol in a Tertiary Hospital: A Retrospective Study.
Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimDelirium is an acute neurocognitive disorder commonly affecting older adults. With Singapore's aging population, the early detection of delirium has become increasingly critical. The 4 'A's test (arousal, attention, abbreviated mental test, acute change) (4AT) assessment is a validated screening tool designed to detect delirium and is widely used in older adults. Despite its routine application, both compliance and timeliness with the Modified 4AT protocol have not yet been assessed in an acute tertiary care setting in Singapore. Delayed or inconsistent use may lead to late diagnosis and management. Therefore, this study aims to assess the compliance rate and timeliness of the Modified 4AT when screening for delirium among older adult inpatients in an acute tertiary hospital in Singapore.
methodsFor this retrospective study, electronic medical records of patients aged 65 and above admitted in an acute local tertiary hospital in Singapore between 1 June 2022 and 30 June 2023 were included in the analysis. Data extraction and record reviews were conducted between September 2023 and June 2025 using the hospital's electronic medical record system. This study was submitted to the institution's review board but received an exemption due to its nature as a retrospective review without patient contact (CIRB Ref: 2023/2457).
resultsOf the 4821 admissions, 73.5% (
conclusionsPreliminary findings suggest suboptimal compliance with delays in Modified 4AT assessments in the acute setting, potentially affecting patient outcomes. Strengthening adherence to timely delirium screening protocols may improve the care quality for older adults who are at risk.
Indexed as
Identifiers
What OpenQuestion holds
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.