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

Author:

Hansen Charlotte Levy1ORCID,Thomsen Thordis23,Tøgern Aske2,Møller Ann Merete23,Vester‐Andersen Morten23,Overgaard Søren34,Foss Nicolai Bang35,Hägi‐Pedersen Daniel13

Affiliation:

1. Research Centre of Anaesthesiology and Intensive Care Medicine, Department of Anaesthesiology Naestved, Slagelse and Ringsted Hospitals Slagelse Denmark

2. Herlev Anaesthesia Critical and Emergency Care Science Unit (Herlev ACES), Department of Anaesthesiology Copenhagen University Hospital Herlev‐Gentofte Denmark

3. Department of Clinical Medicine, Faculty of Health Sciences University of Copenhagen Denmark

4. Department of Orthopedic Surgery and Traumatology Copenhagen University Hospital Bispebjerg Denmark

5. Department of Anaesthesia & Intensive Care Copenhagen University Hospital Amager‐Hvidovre Denmark

Abstract

AbstractBackgroundDelirium 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 We will systematically search multiple databases and include unpublished trials, ensuring a comprehensive review based on a predefined protocol.ResultsResults will be presented descriptively, with supplementary tables and graphs.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.

Funder

Region Sjælland

Herlev Hospital

Publisher

Wiley

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