Morandi Alessandro, Pozzi Christian, Milisen Koen, Hobbelen Hans, Bottomley Jennifer M, Lanzoni Alessandro, Tatzer Verena C, Carpena Maria Gracia, Cherubini Antonio, Ranhoff Anette, MacLullich Alasdair M J, Teodorczuk Andrew, Bellelli Giuseppe
Department of Rehabilitation and Aged Care "Fondazione Camplani" Hospital, Cremona, Italy.
Rehabilitation Hospital Ancelle di Cremona, Via Aselli 14, 26100, Cremona, CR, Italy.
BMC Geriatr. 2019 Sep 11;19(1):253. doi: 10.1186/s12877-019-1264-2.
Delirium is a geriatric syndrome that presents in 1 out of 5 hospitalized older patients. It is also common in the community, in hospices, and in nursing homes. Delirium prevalence varies according to clinical setting, with rates of under 5% in minor elective surgery but up to 80% in intensive care unit patients. Delirium has severe adverse consequences, but despite this and its high prevalence, it remains undetected in the majority of cases. Optimal delirium care requires an interdisciplinary, multi-dimensional diagnostic and therapeutic approach involving doctors, nurses, physiotherapists, and occupational therapists. However, there are still important gaps in the knowledge and management of this syndrome.
The objective of this paper is to promote the interdisciplinary approach in the prevention and management of delirium as endorsed by a delirium society (European Delirium Association, EDA), a geriatrics society (European Geriatric Medicine Society, EuGMS), a nursing society (European Academy of Nursing Science, EANS), an occupational therapy society (Council of Occupational Therapists for European Countries, COTEC), and a physiotherapy society (International Association of Physical Therapists working with Older People of the World Confederation for Physical Therapy, IPTOP/WCPT).
In this paper we have strongly promoted and supported interdisciplinary collaboration underlying the necessity of increasing communication among scientific societies. We have also provided suggestions on how to fill the current gaps via improvements in undergraduate and postgraduate delirium education among European Countries.
谵妄是一种老年综合征,每5名住院老年患者中就有1人会出现。在社区、临终关怀机构和疗养院中也很常见。谵妄的患病率因临床环境而异,在小型择期手术中低于5%,但在重症监护病房患者中高达80%。谵妄会产生严重的不良后果,尽管如此,且其患病率很高,但在大多数情况下仍未被发现。最佳的谵妄护理需要一种跨学科、多维度的诊断和治疗方法,涉及医生、护士、物理治疗师和职业治疗师。然而,在这种综合征的知识和管理方面仍存在重要差距。
本文的目的是推广由一个谵妄协会(欧洲谵妄协会,EDA)、一个老年医学协会(欧洲老年医学协会,EuGMS)、一个护理协会(欧洲护理科学学院,EANS)、一个职业治疗协会(欧洲国家职业治疗师理事会,COTEC)和一个物理治疗协会(世界物理治疗联合会老年物理治疗师国际协会,IPTOP/WCPT)认可的跨学科方法,用于谵妄的预防和管理。
在本文中,我们大力推广并支持跨学科合作,强调了科学协会之间加强沟通的必要性。我们还就如何通过改进欧洲国家本科和研究生阶段的谵妄教育来填补当前差距提供了建议。