{{htmlmetatags>
  metatag-keywords=(Syndromes Geriatriques, Confusion, Palliatifs, Soins, Epidémiologie, Prévalence, Incidence)

  metatag-og:title=(The incidence and prevalence of delirium across palliative care settings: A systematic review. Watt CL, et al, Palliat Med 2019.)

  metatag-description=(The incidence and prevalence of delirium across palliative care settings: A systematic review. Watt CL, et al, Palliat Med 2019.)

  metatag-og:type=article
  metatag-article:published_time=2021-02-25
  metatag-article:modified_time=2021-03-07

}}
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{{pmid>addtt:31184538|The incidence and prevalence of delirium across palliative care settings: A systematic review.}}
{{pmid>addhash_fr:31184538|Syndromes_Geriatriques, Soins, Epidémiologie, Prévalence, Incidence}}

====== The incidence and prevalence of delirium across palliative care settings: A systematic review. Watt CL, et al, Palliat Med 2019. ======

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{{tag>Syndromes_Geriatriques Confusion Palliatifs  }}
{{tag>Soins, Epidémiologie, Prévalence, Incidence}}
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  * **Proposé le :** 25/02/2021 11:07:02
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  * **Avec la version du site :** <label type="warning">**v2021_01_12**</label>
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{{tag>Proposé_à_relecture 2021-02 Non_attribué Non_finalisé}}
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===== Résumé et points clés =====



**Background:** Delirium is a common and distressing neurocognitive condition that frequently affects patients in palliative care settings and is often underdiagnosed.

**Aim:** Expanding on a 2013 review, this systematic review examines the incidence and prevalence of delirium across all palliative care settings.

**Design:** This systematic review and meta-analyses were prospectively registered with PROSPERO and included a risk of bias assessment. DATA SOURCES: Five electronic databases were examined for primary research studies published between 1980 and 2018. Studies on adult, non-intensive care and non-postoperative populations, either receiving or eligible to receive palliative care, underwent dual reviewer screening and data extraction. Studies using standardized delirium diagnostic criteria or valid assessment tools were included.

**Results:** Following initial screening of 2596 records, and full-text screening of 153 papers, 42 studies were included. Patient populations diagnosed with predominantly cancer (n = 34) and mixed diagnoses (n = 8) were represented. Delirium point prevalence estimates were 4%-12% in the community, 9%-57% across hospital palliative care consultative services, and 6%-74% in inpatient palliative care units. The prevalence of delirium prior to death across all palliative care settings (n = 8) was 42%-88%. Pooled point prevalence on admission to inpatient palliative care units was 35% (confidence interval = 0.29-0.40, n = 14). Only one study had an overall low risk of bias. Varying delirium screening and diagnostic practices were used.

**Conclusion:** Delirium is prevalent across all palliative care settings, with one-third of patients delirious at the time of admission to inpatient palliative care. Study heterogeneity limits meta-analyses and highlights the future need for rigorous studies.

===== Références de l'article =====

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===== Références =====

~~REFNOTES~~

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