• Acta Anaesthesiol Scand · Nov 2024

    Review

    Delirium diagnostic tools in the postoperative setting: A scoping review protocol.

    • Charlotte Levy Hansen, Thordis Thomsen, Aske Tøgern, Ann Merete Møller, Morten Vester-Andersen, Søren Overgaard, Nicolai Bang Foss, and Daniel Hägi-Pedersen.
    • Research Centre of Anaesthesiology and Intensive Care Medicine, Department of Anaesthesiology, Naestved, Slagelse and Ringsted Hospitals, Slagelse, Denmark.
    • Acta Anaesthesiol Scand. 2024 Nov 1; 68 (10): 152815311528-1531.

    BackgroundDelirium 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.AimThe 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.MethodWe 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 We will systematically search multiple databases and include unpublished trials, ensuring a comprehensive review based on a predefined protocol.ResultsResults will be presented descriptively, with supplementary tables and graphs. Studies will be grouped by design, surgical specialties, and diagnostic tools to identify potential variations.ConclusionThis 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.© 2024 The Author(s). Acta Anaesthesiologica Scandinavica published by John Wiley & Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation.

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