Consensus and variations in opinions on delirium care: a survey of European delirium specialists

• DOI: 10.1017/s1041610213001415
• Publication Date: 2013-08-20T13:36:30Z
• Authors: A. Morandi; D. Davis; J.K. Taylor; G. Bellelli; B. Olofsson; S. Kreisel; A. Teodorczuk; B. Kamholz; W. Hasemann; J. Young; M. Agar; S.E. de Rooij; D. Meagher; M. Trabucchi; A.M. MacLullich
• Keywords: Confusion

ABSTRACT Background: There are still substantial uncertainties over best practice in delirium care. The European Delirium Association (EDA) conducted a survey of its members and other interested parties on various aspects Methods: invitation to participate the online was distributed among EDA membership. covered assessment, treatment hyperactive hypoactive delirium, organizational management. Results: A total 200 responses were collected (United Kingdom 28.6%, Netherlands 25.3%, Italy 15%, Switzerland 9.7%, Germany 7.1%, Spain 3.8%, Portugal 2.5%, Ireland Sweden 0.6%, Denmark Austria others 3.2%). Most responders doctors (80%), working geriatrics (45%) or internal medicine (14%). Ninety-two per cent assessed patients for daily. most commonly used assessment tools Confusion Assessment Method (52%) Observation Screening Scale (30%). first-line choice management combination non-pharmacological pharmacological approaches (61%). Conversely, (67%). awareness (34%), knowledge (33%), lack education (13%) reported barriers improving detection delirium. Interestingly, 63% referred after an episode follow-up clinic. Conclusions: This is first systematic involving international group specialists Several areas consensus found. These results emphasise importance further research improve care this major unmet medical need.