Abstract：
BACKGROUND: Delirium is an acute and fluctuating disturbance in attention, awareness, and cognition, commonly observed in hospital settings, particularly among older adults, critically ill and surgical patients. Delirium poses significant challenges in patient care, leading to increased morbidity, mortality, prolonged hospital stays, and functional decline.
OBJECTIVE: The aim of this review is to map existing evidence on delirium diagnostic tools suitable for use in patients treated surgically due to hip fracture, to inform clinical practice and enhance patient care protocols in the postoperative setting.
METHODS: We will conduct a scoping review on delirium diagnostic tools used for adult patients in the postoperative setting according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Eligibility criteria encompass all languages, publications dates, and study designs, with exception of case-reports. We will systematically search multiple databases and include unpublished trials, ensuring a comprehensive review based on a predefined protocol.
RESULTS: Results will be presented descriptively, with supplementary tables and graphs. Studies will be grouped by design, surgical specialties, and diagnostic tools to identify potential variations.
CONCLUSIONS: This scoping review will provide an overview of existing delirium diagnostic tools used in the postoperative setting and highlight knowledge-gaps to support future research. Due to the large number of patients affected by postoperative delirium, evidence mapping is much needed to facilitate evidence-based practice.
OBJECTIVE: The aim of this review is to map existing evidence on delirium diagnostic tools suitable for use in patients treated surgically due to hip fracture, to inform clinical practice and enhance patient care protocols in the postoperative setting.
METHODS: We will conduct a scoping review on delirium diagnostic tools used for adult patients in the postoperative setting according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Eligibility criteria encompass all languages, publications dates, and study designs, with exception of case-reports. We will systematically search multiple databases and include unpublished trials, ensuring a comprehensive review based on a predefined protocol.
RESULTS: Results will be presented descriptively, with supplementary tables and graphs. Studies will be grouped by design, surgical specialties, and diagnostic tools to identify potential variations.
CONCLUSIONS: This scoping review will provide an overview of existing delirium diagnostic tools used in the postoperative setting and highlight knowledge-gaps to support future research. Due to the large number of patients affected by postoperative delirium, evidence mapping is much needed to facilitate evidence-based practice.
摘要：
背景：谵妄是一种急性和波动性的注意力障碍，意识,和认知，通常在医院环境中观察到，尤其是在老年人中，危重患者和手术患者。谵妄对患者护理提出了重大挑战，导致发病率增加，死亡率,住院时间延长,功能下降。
目的：本综述的目的是绘制适用于髋部骨折手术患者谵妄诊断工具的现有证据，为临床实践提供信息，并在术后环境中加强患者护理方案。
方法：我们将根据系统评价的首选报告项目和范围评价的Meta分析扩展（PRISMA-ScR），对术后成人患者使用的谵妄诊断工具进行范围评价。资格标准涵盖所有语言，出版日期,和研究设计，病例报告除外。我们将系统地搜索多个数据库，包括未发表的试验，确保根据预定义的协议进行全面审查。
结果：结果将以描述性方式呈现，带有补充表格和图表。研究将按设计分组，外科专科,和诊断工具来识别潜在的变化。
结论：本范围综述将提供在术后设置中使用的现有谵妄诊断工具的概述，并强调知识差距，以支持未来的研究。由于大量患者受到术后谵妄的影响，证据映射是非常需要的，以促进循证实践。
目的：本综述的目的是绘制适用于髋部骨折手术患者谵妄诊断工具的现有证据，为临床实践提供信息，并在术后环境中加强患者护理方案。
方法：我们将根据系统评价的首选报告项目和范围评价的Meta分析扩展（PRISMA-ScR），对术后成人患者使用的谵妄诊断工具进行范围评价。资格标准涵盖所有语言，出版日期,和研究设计，病例报告除外。我们将系统地搜索多个数据库，包括未发表的试验，确保根据预定义的协议进行全面审查。
结果：结果将以描述性方式呈现，带有补充表格和图表。研究将按设计分组，外科专科,和诊断工具来识别潜在的变化。
结论：本范围综述将提供在术后设置中使用的现有谵妄诊断工具的概述，并强调知识差距，以支持未来的研究。由于大量患者受到术后谵妄的影响，证据映射是非常需要的，以促进循证实践。
