Sistema de Salut de Catalunya
Curtin, Catriona
Bo, Mario
Faherty, Mary
Bellelli, Giuseppe
Brunetti, Enrico
Morandi, Alessandro
Institut Català de la Salut
[Faherty M, Curtin C] Centre for Gerontology and Rehabilitation, University College Cork, Cork, Ireland. [Bellelli G] School of Medicina and Surgery, University of Milano-Bicocca and Acute Geriatric Unit, IRCCS Foundation “San Gerardo Dei Tintori”, Monza, Italy. [Brunetti E] Section of Geriatrics, Department of Medical Sciences, University Hospital Città della Salute e della Scienza, Molinette, Turin, Italy. Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy. [Bo M] Section of Geriatrics, Department of Medical Sciences, University Hospital Città della Salute e della Scienza, Molinette, Turin, Italy. [Morandi A] Department of Clinical and Experimental Science, University of Brescia, Brescia, Italy. Azienda Speciale Cremona Solidale, Cremona, Italy. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
2025-11-10T07:46:53Z
2025-11-10T07:46:53Z
2025-06
Attitudes; Delirium; Dementia
Actitudes; Delirio; Demencia
Actituds; Deliri; Demència
Purpose This study aimed to explore the perceptions of geriatricians and experienced geriatric trainees in Europe of the complex relationship between dementia, delirium and frailty, including their relative prevalence, overlaps and causality. Methods An online anonymous survey was administered across 30 European countries, via the mailing list of the European Geriatric Medicine Society (EuGMS), national member groups and the authors’ professional networks. Questions were framed in the context of recently hospitalised 80-year-old patients. Results Within the 440 included surveys, respondents particularly over-estimated frailty prevalence in older hospitalised patients, with two-thirds choosing between 41 and 80% prevalence, when the literature suggests only 23–46%, but paradoxically underestimated the frequency of frailty in people with delirium (more than three quarters of responses across 21–80%; literature suggests 71–93%). Severe dementia and previous delirium were correctly considered the strongest risks for future inpatient delirium. However, many considered pre-frailty a moderate (44%) or even strong (19%) risk for future delirium, while a minority considered severe dementia a low risk. Respondents viewed delirium superimposed on dementia (DSD) as having the strongest influence on in-hospital mortality and discharge to residential care, dementia as having the strongest influence on future residential care admission, and frailty as the condition most strongly influencing future mortality. Conclusion Geriatricians and experienced geriatric trainees across Europe gave varied responses to questions about delirium, dementia and frailty prevalence, co-occurrence and consequences. This indicates a need for the performance and wide dissemination of robust, prospective research examining all three conditions in older hospital cohorts. We suggest a merging of selective delirium-frailty and dementia-delirium interests to the dementia-delirium-frailty triumvirate.
Open Access funding provided by the IReL Consortium.
English
Enquestes; Geriatria; Deliri; Fragilitat; Demència; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Data Collection::Surveys and Questionnaires; NAMED GROUPS::Persons::Occupational Groups::Health Personnel::Physicians::Geriatricians; DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Frailty; DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Dementia; DISEASES::Nervous System Diseases::Neurologic Manifestations::Neurobehavioral Manifestations::Confusion::Delirium; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::recopilación de datos::encuestas y cuestionarios; DENOMINACIONES DE GRUPOS::personas::grupos profesionales::personal sanitario::médicos::geriatras; ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::fragilidad; ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::demencia; ENFERMEDADES::enfermedades del sistema nervioso::manifestaciones neurológicas::manifestaciones neuroconductuales::confusión::delirio confusional
Springer
European Geriatric Medicine;16
https://doi.org/10.1007/s41999-025-01173-4
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
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