Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 9
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Rockwood, Kenneth 2015. Bringing delirium into the 21st century: will physicians get the app out?. International Psychogeriatrics, Vol. 27, Issue. 08, p. 1247.


    Saller, T. v. Dossow, V. and Hofmann-Kiefer, K. 2016. Kenntnis und Umsetzung der S3-Leitlinie zum Delirmanagement in Deutschland. Der Anaesthesist,


    Bellelli, Giuseppe Morandi, Alessandro Di Santo, Simona G. Mazzone, Andrea Cherubini, Antonio Mossello, Enrico Bo, Mario Bianchetti, Angelo Rozzini, Renzo Zanetti, Ermellina Musicco, Massimo Ferrari, Alberto Ferrara, Nicola and Trabucchi, Marco 2016. “Delirium Day”: a nationwide point prevalence study of delirium in older hospitalized patients using an easy standardized diagnostic tool. BMC Medicine, Vol. 14, Issue. 1,


    Souza-Dantas, Vicente Cés Póvoa, Pedro Bozza, Fernando Soares, Marcio and Salluh, Jorge 2016. Preventive strategies and potential therapeutic interventions for delirium in sepsis. Hospital Practice, p. 1.


    Schrijver, E.J.M. de Graaf, K. de Vries, O.J. Maier, A.B. and Nanayakkara, P.W.B. 2016. Efficacy and safety of haloperidol for in-hospital delirium prevention and treatment: A systematic review of current evidence. European Journal of Internal Medicine, Vol. 27, p. 14.


    Panitchote, Anupon Tangvoraphonkchai, Kawin Suebsoh, Naluttaporn Eamma, Wanaporn Chanthonglarng, Bunruam Tiamkao, Somsak and Limpawattana, Panita 2015. Under-recognition of delirium in older adults by nurses in the intensive care unit setting. Aging Clinical and Experimental Research, Vol. 27, Issue. 5, p. 735.


    Morandi, Alessandro Lucchi, Elena Turco, Renato Morghen, Sara Guerini, Fabio Santi, Rossana Gentile, Simona Meagher, David Voyer, Philippe Fick, Donna M. Schmitt, Eva M. Inouye, Sharon K. Trabucchi, Marco and Bellelli, Giuseppe 2015. Delirium superimposed on dementia: A quantitative and qualitative evaluation of informal caregivers and health care staff experience. Journal of Psychosomatic Research, Vol. 79, Issue. 4, p. 272.


    Spedale, Valentina Di Mauro, Stefania Del Giorno, Giulia Barilaro, Monica Villa, Candida E. Gaudreau, Jean D. and Ausili, Davide 2016. Delirium assessment in hospitalized elderly patients: Italian translation and validation of the nursing delirium screening scale. Aging Clinical and Experimental Research,


    Bellelli, G. Nobili, A. Annoni, G. Morandi, A. Djade, C.D. Meagher, D.J. Maclullich, A.M.J. Davis, D. Mazzone, A. Tettamanti, M. and Mannucci, P.M. 2015. Under-detection of delirium and impact of neurocognitive deficits on in-hospital mortality among acute geriatric and medical wards. European Journal of Internal Medicine, Vol. 26, Issue. 9, p. 696.


    ×

Recognition and management of delirium among doctors, nurses, physiotherapists, and psychologists: an Italian survey

  • G. Bellelli (a1) (a2) (a3), A. Morandi (a2) (a4), E. Zanetti (a2), M. Bozzini (a4), E. Lucchi (a4), M. Terrasi (a5) and M. Trabucchi (a2) (a6)
  • DOI: http://dx.doi.org/10.1017/S1041610214001653
  • Published online: 19 August 2014
Abstract
ABSTRACTBackground:

There are no studies that have identified the ability to recognize and manage delirium among Italian health providers caring for patients at risk. Therefore, the Italian Association of Psychogeriatrics (AIP) conducted a multicenter survey among doctors, nurses, psychologists and physiotherapists to assess their competence regarding the theme of delirium and its management in the everyday clinical practice.

Methods:

The survey period was 1st June 2013 to 30th November 2013. The invitation to participate was sent via email, with publication on the AIP website. The survey included 14 questions and two case vignettes.

Results:

A total of 648/1,500 responses were collected. Most responders were doctors (n = 322/800), followed by nurses (n = 225/500), psychologists (n = 51/100), and physiotherapists (n = 30/100). Generally, doctors and psychologists correctly defined delirium, while nurses and physiotherapists did not. The most frequently used diagnostic tools were the Confusion Assessment Method (CAM) and the Diagnostic and Statistical Manual of Mental Disorders-IV. Delirium intensity was rarely assessed. Hypoactive delirium was generally managed with non-pharmacological approaches, while hyperactive delirium with a combination of non-pharmacological and pharmacological approaches. However, possible causes of delirium were under-assessed by half of doctors and by the majority of other professionals. Nurses, psychologists and physiotherapists did not answer the case vignettes, while doctors identified the correct answer in most cases.

Conclusions:

This is the first Italian survey among health providers caring for patients at risk of delirium. This is also the first survey including doctors, nurses, psychologists and physiotherapists. The results emphasize the importance of training to improve knowledge of this relevant unmet medical need.

Copyright
Corresponding author
Correspondence should be addressed to: Giuseppe Bellelli, MD, Department of Health Sciences, University of Milano-Bicocca, via Cadore 48, 20900 Monza MB Geriatric Clinic, San Gerardo Hospital, via Pergolesi 33, 20900 Monza MBItaly. Phone: +39 039-233-3475; Fax: +39 039-233-2220. Email: giuseppe.bellelli@unimib.it; giuseppebellelli@libero.it.
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

G. Bellelli , et al. (2011). Are fluctuations in motor performance a diagnostic sign of delirium? Journal of the American Medical Directors Association, 12, 578583.

G. Bellelli , et al. (2012). A sudden decline in mobility status as an early sign of acute infection in elderly patients: evidence from three case reports. Aging Clinical and Experimental Research, 24, 281284.

D. H. Ceraso , et al. (2010). Latin American survey on delirium in critical patients. Medicina Intensiva, 34, 495505. doi: 10.1016/j.medin.2010.04.003.

D. H. Davis , et al. (2012). Delirium is a strong risk factor for dementia in the oldest-old: a population-based cohort study. Brain, 135 (Pt 9), 28092816.

N. Collins , et al. (2010). Detection of delirium in the acute hospital. Age Ageing, 39, 131135.

D. H. Davis and A. M. J. MacLullich (2009). Understanding barriers to delirium care: a multicentre survey of knowledge and attitudes amongst UK junior doctors. Age Ageing, 38, 559563.

J. W. Devlin , et al. (2011). Current perceptions and practices surrounding the recognition and treatment of delirium in the intensive care unit: a survey of 250 critical care pharmacists from eight States. Annals of Pharmacotherapy, 45, 12171229.

E. W. Ely , et al. (2001) The impact of delirium in the intensive care unit on hospital length of stay. Intensive Care Medicine, 27, 18921900.

E. W. Ely , et al. (2004) Current opinions regarding the importance, diagnosis, and management of delirium in the intensive care unit: a survey of 912 healthcare professionals. Critical Care Medicine, 32, 106112.

C. K. Fang , H. W. Chen , S. I. Liu , C. J. Lin , L. Y. Tsai , and Y. L. Lai (2008). Prevalence, detection and treatment of delirium in terminal cancer inpatients: a prospective survey. Japanese Journal of Clinical Oncology, 38, 5663. doi: 10.1093/jjco/hym155.

L. M. Forsgren and M. Eriksson (2010) Delirium–awareness, observation and interventions in intensive care units: a national survey of Swedish ICU head nurses. Intensive and Critical Care Nursing, 26, 296303.

S. K. Inouye , et al. (2014) The CAM-S: development and validation of a new scoring system for delirium severity in 2 cohorts. Annals of Internal Medicine, 160, 526533.

D. S. Jones (2014) Still delirious after all these years. New England Journal of Medicine, 370, 399401.

D. K. Kiely , et al. (2006) Association between delirium resolution and functional recovery among newly admitted postacute facility patients. Journal of Gerontology Series A Biological Sciences and Medical Sciences, 61, 204208.

J. Lee , et al. (2013) Perioperative psycho-educational intervention can reduce postoperative delirium in patients after cardiac surgery: a pilot study. International Journal of Psychiatry in Medicine, 45, 143158.

A. U. Lindner , et al. (2013) Systems analysis of BCL2 protein family interactions establishes a model to predict responses to chemotherapy. Cancer Research, 73, 519528.

R Mac Sweeney ., et al. (2010) A national survey of the management of delirium in UK intensive care units. Quarterly Journal of Medicine, 103, 243251.

J. McCrow , et al. (2013) Development and review of vignettes representing older people with cognitive impairment. Geriatric Nursing, 34, 128137.

R. O’Mahony , et al. (2011) Synopsis of the national institute for health and clinical excellence guideline for prevention of delirium. Annals of Internal Medicine, 154, 746751.

S. Ouimet , et al. (2007) Incidence, risk factors and consequences of ICU delirium. Intensive Care Medicine, 33, 6673.

P. P. Pandharipande , et al. (2013) Long-term cognitive impairment after critical illness. New England Journal of Medicine, 369, 13061316.

J. S. Partridge , et al. (2012) The delirium experience: what is the effect on patients, relatives and staff and what can be done to modify this? International Journal of Geriatric Psychiatry, 28, 804812.

R. P. Patel , et al. (2009) Delirium and sedation in the intensive care unit: survey of behaviors and attitudes of 1384 healthcare professionals. Critical Care Medicine, 37, 825832.

P. E. Spronk , et al. (2009) Occurrence of delirium is severely underestimated in the ICU during daily care. Intensive Care Medicine, 35, 12761280.

N. Tabet , et al. (2005) An educational intervention can prevent delirium on acute medical wards. Age Ageing, 34, 152156.

M. M. Van Eijk , et al. (2008) Intensive care delirium monitoring and standardised treatment: a complete survey of Dutch intensive care units. Intensive Critical Care Nursing, 24, 218221.

J. Witlox , et al. (2010) Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta-analysis. JAMA, 304, 443451.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Type Description Title
UNKNOWN
Supplementary Materials

Bellelli Supplementary Material
Appendix B

 Unknown (24 KB)
24 KB
UNKNOWN
Supplementary Materials

Bellelli Supplementary Material
Appendix A

 Unknown (35 KB)
35 KB