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德尔菲谵妄管理算法。这是一种供临床医生使用的实用工具,采用改良德尔菲专家共识方法得出的结果。

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

作者信息

Ottens Thomas H, Hermes Carsten, Page Valerie, Oldham Mark, Arora Rakesh, Bienvenu O Joseph, van den Boogaard Mark, Caplan Gideon, Devlin John W, Friedrich Michaela-Elena, van Gool Willem A, Hanison James, Hansen Hans-Christian, Inouye Sharon K, Kamholz Barbara, Kotfis Katarzyna, Maas Matthew B, MacLullich Alasdair M J, Marcantonio Edward R, Morandi Alessandro, van Munster Barbara C, Müller-Werdan Ursula, Negro Alessandra, Neufeld Karin J, Nydahl Peter, Oh Esther S, Pandharipande Pratik, Radtke Finn M, Raedt Sylvie De, Rosenthal Lisa J, Sanders Robert, Spies Claudia D, Vardy Emma R L C, Wijdicks Eelco F, Slooter Arjen J C

机构信息

Intensive Care Unit, Haga Teaching Hospital.

Intensive Care Medicine, University Medical Center Utrecht.

出版信息

Delirium (Bielef). 2024;2024. doi: 10.56392/001c.90652. Epub 2024 Jan 12.

Abstract

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.

摘要

谵妄在住院患者中很常见,目前尚无特效治疗方法。一旦诊断出谵妄,识别并治疗其潜在的躯体病因是首要任务。几项国际指南为临床医生提供了基于证据的筛查、诊断及对症治疗方法。然而,现行指南并未提供识别潜在病因的结构化方法。一个由37名来自不同医学背景的国际知名谵妄专家组成的小组,通过在线平台以改良德尔菲法共同开展工作。经过五轮投票达成了共识。该项目的最终成果是一套三项谵妄管理算法(《谵妄德尔菲算法》),一项针对病房患者,一项针对心脏手术后患者,另一项针对重症监护病房患者。

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