ArticleEuropean geriatric medicine2025
The Single Question in Delirium as a suitable tool to improve delirium detection in hospitalized older patients.
Article in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDelirium remains underdiagnosed in hospitalized older patients. The Single Question in Delirium (SQiD) has emerged as a promising screening tool with a high negative predictive value in previous studies, but only a few have investigated the SQiD in geriatric patients. This study aimed to investigate the added value of combining the 4AT and SQiD for detecting delirium in hospitalized older patients. Secondary objectives included determining the point prevalence of delirium and healthcare professionals' awareness of delirium.
methodsOn World Delirium Awareness Day 2024, all patients aged 70 years and older in three German hospitals were screened for delirium using the 4AT and SQiD. To assess delirium awareness among healthcare professionals, both nurses and physicians were asked which patients they perceived as delirious, and discharge documentation was reviewed for mentions of delirium.
results403 patients (mean age 81.3 ± 6.3 years, 55.3% female) were included. In 75.3% of cases, the results from SQiD alone and the 4AT alone were consistent. Combining both tools increased the detection rate of possible delirium from 20.3 to 31.3%. Delirium awareness was low: nurses and physicians correctly perceived patients as delirious in only 34.9% and 32.4%, respectively. Orientation deficits and altered alertness were associated with increased odds of staff awareness, attention deficits and a positive SQiD alone were not.
conclusionCombining the SQiD with the 4AT enhances the detection of possible delirium in older inpatients. Delirium awareness among healthcare professionals remains low and must be increased to ensure better detection, management, and ultimately patient outcomes.
Indexed as
Identifiers
41074921What Socratic 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 Socratic graph.