Evidence mapPaperPMID 40125030Full record

ArticleInternational journal of nursing studies advances2025

Delirium prevalence and management in general wards, emergency departments, rehabilitation centres and nursing homes in Germany, Austria and Switzerland (DACH countries): A secondary analysis of a worldwide point prevalence study.

Florian Schimböck, Lars Krüger, Magdalena Hoffmann, Marie-Madlen Jeitziner, Heidi Lindroth, Keibun Liu, Peter Nydahl, Rebecca Von Haken, Matthias Thomas Exl, Sibylle Fischbacher and 1 more

Abstract read
In one paragraph

Article in International journal of nursing studies advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

11 authors.

Florian SchimböckInstitute of General Practice, University Hospital of Schleswig-Holstein/Kiel University, Kiel, Germany.
Lars KrügerProject and Knowledge Management/Care Development intensive care, Care Directorate, Heart and Diabetes Center NRW, University Hospital of the Ruhr University Bochum, Bad Oeynhausen, Germany.
Magdalena HoffmannResearch 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, Inselspital, University Bern, Bern, Switzerland.
Heidi LindrothDivision of Nursing Research, Department of Nursing, Mayo Clinic, Rochester, MN, USA.
Keibun LiuNon-Profit Organization ICU Collaboration Network (ICON), Tokyo, Japan.
Peter NydahlNursing Research, University Hospital of Schleswig-Holstein, Kiel, Germany.
Rebecca Von HakenDepartment of Surgery, University Hospital Mannheim, Heidelberg, Germany.
Matthias Thomas ExlDepartment of Intensive Care Medicine, University Hospital Bern, Inselspital, University Bern, Bern, Switzerland.
Sibylle FischbacherDepartment of Intensive Care Medicine, Community Hospital Zurich, Stadtspital, Zurich, Switzerland.
WDAD-DACH study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Delirium is a common neuropsychiatric syndrome associated with an increased risk of mortality and length of stay. Current delirium prevalence, assessments and management practices of delirium in DACH countries are unknown. Objective: To examine the delirium point prevalence, assessment, management practices in general wards, emergency departments, rehabilitation centres and nursing homes in DACH countries. Design: Secondary data analysis from a prospective, cross-sectional, worldwide one-day point delirium prevalence study (registered in the German Registry for Clinical Trials, DRKS00030002). Settings: General hospital wards, emergency departments, rehabilitation centres and nursing homes excluding operating rooms, ambulatory, high acuity, intermediate care and intensive care units. Participants: In total, 172 wards (majority were general wards; 91.3 %, Methods: Descriptive analysis of a 39-questions online survey with aggregated routine patient and facility data completed by healthcare professionals, administrators, and researchers on World Delirium Awareness Day, March 15th, 2023. Data on delirium prevalence were collected at 8:00 A.M. and P.M. (± 4 h). Use of delirium assessments, delirium awareness structures, presence of care protocols, and barriers to delirium management structures were reported. Results: Overall delirium prevalence was 7.1 % ( Conclusions: Delirium is a frequent complication in patients in DACH countries. More than three quarter of participating wards reported a delirium management protocol suggesting awareness of published guidelines and best practice recommendations. Improved staffing, education on delirium assessment, and interprofessional communication could be helpful to improve the usage of valid delirium assessments and addressing barriers to delirium management.

Indexed as

DeliriumEncephalopathyNursesPrevalenceProtocol

Identifiers

PMID40125030
PMCPMC11929099

What Socratic holds

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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 Socratic graph.