The Delphi Delirium Management Algorithms. A practical tool for clinicians, the result of a modified Delphi expert consensus approach.

Clinical practice algorithm Delirium Expert consensus cardiac surgery hospital medicine intensive care

Journal

Delirium (Bielefeld, Germany)
ISSN: 2958-9134
Titre abrégé: Delirium (Bielef)
Pays: Germany
ID NLM: 9918573683206676

Informations de publication

Date de publication:
2024
Historique:
medline: 13 2 2024
pubmed: 13 2 2024
entrez: 13 2 2024
Statut: ppublish

Résumé

Delirium is common in hospitalised patients, and there is currently no specific treatment. Identifying and treating underlying somatic causes of delirium is the first priority once delirium is diagnosed. Several international guidelines provide clinicians with an evidence-based approach to screening, diagnosis and symptomatic treatment. However, current guidelines do not offer a structured approach to identification of underlying causes. A panel of 37 internationally recognised delirium experts from diverse medical backgrounds worked together in a modified Delphi approach via an online platform. Consensus was reached after five voting rounds. The final product of this project is a set of three delirium management algorithms (the Delirium Delphi Algorithms), one for ward patients, one for patients after cardiac surgery and one for patients in the intensive care unit.

Identifiants

pubmed: 38348284
doi: 10.56392/001c.90652
pmc: PMC10861222
doi:

Types de publication

Journal Article

Langues

eng

Déclaration de conflit d'intérêts

DISCLOSURES The authors have no conflicts of interest to disclose.

Auteurs

Thomas H Ottens (TH)

Intensive Care Unit, Haga Teaching Hospital.
Intensive Care Medicine, University Medical Center Utrecht.

Carsten Hermes (C)

Intensive Care Unit, Haga Teaching Hospital.
Intensive Care Medicine, University Medical Center Utrecht.
Critical Care, Watford General Hospital.
School of Medicine and Dentisty, University of Rochester.
Psychiatry, University of Rochester Medical Center.
Harrington Heart and Vascular Institute, University Hospitals of Cleveland.
Division of Cardiac Surgery, Case Western Reserve University.
School of Medicine, Johns Hopkins University.
Intensive Care Medicine, Radboud University Nijmegen Medical Centre.
School of Clinical Medicine, UNSW Sydney.
Geriatric Medicine, Prince of Wales Hospital.
Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital.
Bouve College of Health Sciences, Northeastern University.
Abteilung für Sozialpsychiatrie, Hollabrunn, Austria.
Neurology, Amsterdam University Medical Centers.
Anaesthesia, Manchester University NHS Foundation Trust.
Neurology, Friedrich-Ebert-Krankenhaus.
Beth Israel Deaconess Medical Center.
Harvard Medical School.
Anaesthesia, Intensive Care and Acute Poisoning, Pomeranian Medical University.
Neurology, Northwestern Medicine.
Feinberg School of Medicine, Northwestern University.
Usher Institute Ageing and Health, University of Edinburgh.
Geriatric Medicine, Beth Israel Deaconess Medical Center.
Rehabilitation, Fondazione Teresa Camplani.
Geriatric Medicine, University Medical Center Groningen.
Geriatrics, Charité - Universitätsmedizin Berlin.
Intensive Care Unit, IRCCS Ospedale San Raffaele.
Faculty of Health Sciences, McMaster University.
Intensive Care Unit, University Hospital Schleswig-Holstein.
Geriatric Medicine and Gerontology, Johns Hopkins Medicine.
Anesthesiology and Critical Care Medicine, Vanderbilt University Medical Center.
University of Southern Denmark.
Anaesthesia and Intensive Care, Nykøbing F. Hospital.
Vrije Universiteit Brussel.
Neurology, Universitair Ziekenhuis Brussel.
Psychiatry, Northwestern Memorial Hospital.
Faculty of Medicine and Health, University of Sydney.
Anaesthesiology and Intensive Care, Charité - Universitätsmedizin Berlin.
Northern Care Alliance NHS Foundation Trust, Oldham, United Kingdom.
University of Manchester, Manchester, United Kingdom.
Neurology, Mayo Clinic.
Psychiatry, University Medical Center Utrecht.
Brain Center, University Medical Center Utrecht.

Valerie Page (V)

Critical Care, Watford General Hospital.

Mark Oldham (M)

School of Medicine and Dentisty, University of Rochester.
Psychiatry, University of Rochester Medical Center.

Rakesh Arora (R)

Harrington Heart and Vascular Institute, University Hospitals of Cleveland.
Division of Cardiac Surgery, Case Western Reserve University.

O Joseph Bienvenu (OJ)

School of Medicine, Johns Hopkins University.

Mark van den Boogaard (M)

Intensive Care Medicine, Radboud University Nijmegen Medical Centre.

Gideon Caplan (G)

School of Clinical Medicine, UNSW Sydney.
Geriatric Medicine, Prince of Wales Hospital.

John W Devlin (JW)

Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital.
Bouve College of Health Sciences, Northeastern University.

Michaela-Elena Friedrich (ME)

Abteilung für Sozialpsychiatrie, Hollabrunn, Austria.

Willem A van Gool (WA)

Neurology, Amsterdam University Medical Centers.

James Hanison (J)

Anaesthesia, Manchester University NHS Foundation Trust.

Hans-Christian Hansen (HC)

Neurology, Friedrich-Ebert-Krankenhaus.

Sharon K Inouye (SK)

Beth Israel Deaconess Medical Center.
Harvard Medical School.

Barbara Kamholz (B)

Intensive Care Unit, Haga Teaching Hospital.
Intensive Care Medicine, University Medical Center Utrecht.
Critical Care, Watford General Hospital.
School of Medicine and Dentisty, University of Rochester.
Psychiatry, University of Rochester Medical Center.
Harrington Heart and Vascular Institute, University Hospitals of Cleveland.
Division of Cardiac Surgery, Case Western Reserve University.
School of Medicine, Johns Hopkins University.
Intensive Care Medicine, Radboud University Nijmegen Medical Centre.
School of Clinical Medicine, UNSW Sydney.
Geriatric Medicine, Prince of Wales Hospital.
Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital.
Bouve College of Health Sciences, Northeastern University.
Abteilung für Sozialpsychiatrie, Hollabrunn, Austria.
Neurology, Amsterdam University Medical Centers.
Anaesthesia, Manchester University NHS Foundation Trust.
Neurology, Friedrich-Ebert-Krankenhaus.
Beth Israel Deaconess Medical Center.
Harvard Medical School.
Anaesthesia, Intensive Care and Acute Poisoning, Pomeranian Medical University.
Neurology, Northwestern Medicine.
Feinberg School of Medicine, Northwestern University.
Usher Institute Ageing and Health, University of Edinburgh.
Geriatric Medicine, Beth Israel Deaconess Medical Center.
Rehabilitation, Fondazione Teresa Camplani.
Geriatric Medicine, University Medical Center Groningen.
Geriatrics, Charité - Universitätsmedizin Berlin.
Intensive Care Unit, IRCCS Ospedale San Raffaele.
Faculty of Health Sciences, McMaster University.
Intensive Care Unit, University Hospital Schleswig-Holstein.
Geriatric Medicine and Gerontology, Johns Hopkins Medicine.
Anesthesiology and Critical Care Medicine, Vanderbilt University Medical Center.
University of Southern Denmark.
Anaesthesia and Intensive Care, Nykøbing F. Hospital.
Vrije Universiteit Brussel.
Neurology, Universitair Ziekenhuis Brussel.
Psychiatry, Northwestern Memorial Hospital.
Faculty of Medicine and Health, University of Sydney.
Anaesthesiology and Intensive Care, Charité - Universitätsmedizin Berlin.
Northern Care Alliance NHS Foundation Trust, Oldham, United Kingdom.
University of Manchester, Manchester, United Kingdom.
Neurology, Mayo Clinic.
Psychiatry, University Medical Center Utrecht.
Brain Center, University Medical Center Utrecht.

Katarzyna Kotfis (K)

Anaesthesia, Intensive Care and Acute Poisoning, Pomeranian Medical University.

Matthew B Maas (MB)

Neurology, Northwestern Medicine.
Feinberg School of Medicine, Northwestern University.

Alasdair M J MacLullich (AMJ)

Usher Institute Ageing and Health, University of Edinburgh.

Edward R Marcantonio (ER)

Geriatric Medicine, Beth Israel Deaconess Medical Center.

Alessandro Morandi (A)

Rehabilitation, Fondazione Teresa Camplani.

Barbara C van Munster (BC)

Geriatric Medicine, University Medical Center Groningen.

Ursula Müller-Werdan (U)

Geriatrics, Charité - Universitätsmedizin Berlin.

Alessandra Negro (A)

Intensive Care Unit, IRCCS Ospedale San Raffaele.

Karin J Neufeld (KJ)

Faculty of Health Sciences, McMaster University.

Peter Nydahl (P)

Intensive Care Unit, University Hospital Schleswig-Holstein.

Esther S Oh (ES)

Geriatric Medicine and Gerontology, Johns Hopkins Medicine.

Pratik Pandharipande (P)

Anesthesiology and Critical Care Medicine, Vanderbilt University Medical Center.

Finn M Radtke (FM)

University of Southern Denmark.
Anaesthesia and Intensive Care, Nykøbing F. Hospital.

Sylvie De Raedt (S)

Vrije Universiteit Brussel.
Neurology, Universitair Ziekenhuis Brussel.

Lisa J Rosenthal (LJ)

Feinberg School of Medicine, Northwestern University.
Psychiatry, Northwestern Memorial Hospital.

Robert Sanders (R)

Faculty of Medicine and Health, University of Sydney.

Claudia D Spies (CD)

Anaesthesiology and Intensive Care, Charité - Universitätsmedizin Berlin.

Emma R L C Vardy (ERLC)

Northern Care Alliance NHS Foundation Trust, Oldham, United Kingdom.
University of Manchester, Manchester, United Kingdom.

Arjen J C Slooter (AJC)

Intensive Care Medicine, University Medical Center Utrecht.
Psychiatry, University Medical Center Utrecht.
Brain Center, University Medical Center Utrecht.

Classifications MeSH