ArticleBMC geriatrics2026
Prevalence of delirium in German nursing homes: A cross-sectional study.
Article in BMC geriatrics, 2026. 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
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelirium is a common geriatric syndrome. However, there is a lack of primary data regarding the prevalence of delirium in German nursing homes. The aim of this study was to assess the prevalence of delirium and its motor subtypes, and to identify factors associated with the prevalence of delirium among residents of German nursing homes.
methodsThis multicenter cross-sectional study was conducted in German nursing homes. Trained nurses collected data over a two-week period in April 2024. The participants were recruited via random sampling. The inclusion criteria were as follows: valid informed consent, age ≥ 65 years, and sufficient German language skills. The exclusion criteria were as follows: aphasia, coma, deafness, or end-of-life status. Delirium screening was conducted using the 4 'A's Test (4AT), and delirium subtypes were classified using the Delirium Motor Subtype Scale (DMSS).
resultsData from 415 residents across 33 of the 34 participating nursing homes were included in the analysis. Probable delirium (4AT score ≥ 4) was identified in 17.6% of the residents (95% confidence interval [CI]: 13.4-22.7). The results of the DMSS revealed that 43.1% of individuals with delirium presented with a nonmotor subtype (95% CI: 29.8-55.9), 25.0% presented with a hypoactive subtype (95% CI: 15.6-33.3), 18.1% presented with a hyperactive subtype (95% CI: 12.0-24.4), and 13.9% presented with a mixed subtype (95% CI: 6.5-21.3). Multivariate logistic regression analysis revealed that more severe neuropsychiatric symptoms (adjusted odds ratio [AOR] = 1.17, 95% CI: 1.04-1.32), prevalent pain behavior (AOR = 3.67, 95% CI: 1.51-8.93), a medical diagnosis of dementia (AOR = 2.01, 95% CI: 1.12-3.59), and living in the nursing home for ≥ 25 months (AOR = 2.74, 95% CI: 1.08-6.94) were associated with the prevalence of delirium.
conclusionThe findings of this study confirm previous research indicating that delirium is a widespread health issue among residents of nursing homes. Further research is needed to develop training programs focused on the detection and prevention of delirium in nursing homes as well as to enhance knowledge regarding the delirium subtypes. The routine use of simple and rapid screening tools by nurses should also be integrated into standard care.
Indexed as
Identifiers
What 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.