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@ARTICLE{Drner:276088,
      author       = {Dörner, Jonas and Houdelet-Oertel, Alexandre and Arslan,
                      Zafer and Lauer, Romy and Otte, Ina and Vollmar, Horst
                      Christian and Thürmann, Petra and Palm, Rebecca and Holle,
                      Bernhard},
      title        = {{P}revalence of delirium in {G}erman nursing homes:
                      protocol for a cross-sectional study.},
      journal      = {BMJ open},
      volume       = {15},
      number       = {1},
      issn         = {2044-6055},
      address      = {London},
      publisher    = {BMJ Publishing Group},
      reportid     = {DZNE-2025-00169},
      pages        = {e087482},
      year         = {2025},
      abstract     = {Delirium is a neuropathological syndrome that is associated
                      with several negative outcomes. Nursing home residents are
                      vulnerable to developing delirium. Valid prevalence data and
                      associated factors are not yet available for Germany.
                      Therefore, the aim of the prevalence study of the DeliA
                      project (Delirium in Nursing Homes) is to assess the
                      prevalence of delirium and its associated factors in 750
                      nursing home residents.Trained registered nurses from each
                      participating nursing home will collect the data in a
                      multicentre cross-sectional study. The inclusion criteria
                      for residents are valid informed consent, age ≥65 years
                      and sufficient language skills. The exclusion criteria are
                      aphasia, coma, deafness or end-of-life status. The 4 'A's
                      Test will be used as the primary measurement. Delirium motor
                      subtypes will be determined using the Delirium Motor Subtype
                      Scale. Covariables for associated factors, including
                      functional impairments, pain, cognitive status and
                      nutritional status, are assessed through standardised
                      measurements. Moreover, data such as prescribed drugs or
                      medical diagnosis, hearing impairment or falls will be
                      assessed from the nursing records. Furthermore, the Drug
                      Burden Index will be calculated, and associated factors will
                      be determined using a logistic regression model. The period
                      for data collection in participating nursing homes is
                      planned for 2 consecutive weeks in April 2024.This study was
                      approved by the Ethics Committee of Witten/Herdecke
                      University (no. 82/2023). Findings will be published in
                      peer-reviewed journals and presented at
                      conferences.https://osf.io/xkfvh/ (DOI
                      10.17605/OSF.IO/XKFVH).},
      keywords     = {Humans / Nursing Homes: statistics $\&$ numerical data /
                      Germany: epidemiology / Cross-Sectional Studies / Prevalence
                      / Delirium: epidemiology / Delirium: diagnosis / Aged / Male
                      / Homes for the Aged: statistics $\&$ numerical data /
                      Female / Research Design / Aged, 80 and over / Delirium $\&$
                      cognitive disorders (Other) / EPIDEMIOLOGIC STUDIES (Other)
                      / GERIATRIC MEDICINE (Other)},
      cin          = {AG Holle},
      ddc          = {610},
      cid          = {I:(DE-2719)1610002},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pmc          = {pmc:PMC11751922},
      pubmed       = {pmid:39819912},
      doi          = {10.1136/bmjopen-2024-087482},
      url          = {https://pub.dzne.de/record/276088},
}