%0 Journal Article
%T Delirium in the US: Results from 2023 cross-sectional World Delirium Awareness Day prevalence study.
%A Lindroth H
%A Byrnes T
%A Fuchita M
%A Hetland B
%A Liu K
%A Maya K
%A McAndrew NS
%A Mulkey MA
%A Nydahl P
%A Palakshappa J
%A von Haken R
%A Psoter KJ
%A Oh ES
%A  
%J J Acad Consult Liaison Psychiatry
%V 0
%N 0
%D 2024 Jun 27
%M 38944277
暂无%R 10.1016/j.jaclp.2024.06.005
%X <B>OBJECTIVE: </B>Delirium is an acute brain dysfunction associated with an increased risk of mortality and future dementia.<BR><B>OBJECTIVE: </B>To describe the prevalence of clinically documented delirium in the United States on World Delirium Awareness Day 2023.<BR><B>METHODS: </B>Sub-analysis of a prospective, cross-sectional, online, international survey.<BR><B>METHODS: </B>All healthcare settings were eligible with the exception of operating rooms and outpatient clinics.<BR><B>METHODS: </B>Healthcare clinicians, administrators, and researchers completed the survey.<BR><B>METHODS: </B>Prevalence of clinically documented delirium at 8:00 a.m. and 8:00 p.m. on March 15, 2023. Secondary outcomes were related to healthcare delivery. Descriptive statistics are reported. Differences between unit types (non-ICU vs ICU) were examined for all outcomes.<BR><B>RESULTS: </B>Ninety-one hospital units reported on 1,318/1,213 patients. The prevalence of clinically documented delirium was 16.4% (n=216/1,318) at 8:00 a.m., 17.9% (n=217/1,213) at 8:00 p.m. (p= 0.316) and significantly differed between age groups, reported discipline, unit, and hospital types. Significant differences were identified between non-ICU and ICU settings in the use of delirium-related protocols, non-pharmacologic and pharmacologic management, educational processes, and barriers to evidence-based delirium care.<BR><B>CONCLUSIONS: </B>To our knowledge, this is the first epidemiologic survey of clinically documented delirium across two time points in the U.S.. Delirium remains a significant burden and challenge for healthcare systems. The high percentage of units using delirium management protocols suggests administrator and clinician awareness of evidence-based strategies for its detection and mitigation. We provide recommendations for future studies and quality improvement projects to improve clinical recognition and management of delirium.