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Society guideline links: Delirium and confusional states in older adults

Society guideline links: Delirium and confusional states in older adults

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Cognitive impairment and dementia".)

International

Society for Critical Care Medicine (SCCM): Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU (2018)

International Group of Researchers and Clinicians (INCOG): Recommendations for management of cognition following traumatic brain injury − Part I: Posttraumatic amnesia/delirium (2014)

Studies to Understand Delirium in Palliative Settings (SUNDIPS): Clinical practice guidelines for delirium management − Potential application in palliative care (2014)

Canada

BC Guidelines: Palliative care for the patient with incurable cancer or advanced disease − Part 2: Pain and symptom management (2017)

Choosing Wisely Canada: Don't routinely obtain head computed tomography (CT) scans, in hospitalized patients with delirium in the absence of risk factors (2017)

Choosing Wisely Canada: Don't use benzodiazepines and other sedative-hypnotics in older adults as first choice for insomnia, agitation or delirium (2017)

Canadian Coalition for Seniors' Mental Health (CCSMH): Guideline update on the assessment and treatment of delirium (2014)

United States

Choosing Wisely: Don't administer diazepam for muscle spasm following spine surgery in the elderly (2017)

Choosing Wisely: Don't administer "prn" (ie, as needed) sedative, antipsychotic or hypnotic medications to prevent and/or treat delirium without first assessing for, removing and treating the underlying causes of delirium and using nonpharmacologic delirium prevention and treatment approaches (2016)

Choosing Wisely: Don't assume a diagnosis of dementia in an older adult who presents with an altered mental status and/or symptoms of confusion without assessing for delirium or delirium superimposed on dementia using a brief, sensitive, validated assessment tool (2016)

Choosing Wisely: Don't use benzodiazepines or other sedative-hypnotics in older adults as first choice for insomnia, agitation or delirium (2013, revised 2015)

Choosing Wisely: Don't use physical restraints to manage behavioral symptoms of hospitalized older adults with delirium (2014, revised 2015)

American Geriatrics Society (AGS): Clinical practice guideline for postoperative delirium in older adults (2014)

American Psychological Association (APA): Guidelines for psychological practice with older adults (2014)

American College of Critical Care Medicine (ACCM): Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit (2013)

Europe

European Society of Medical Oncology (ESMO): Clinical practice guidelines on delirium in adult patients (2018)

European Society of Anaesthesiology (ESA): Evidence-based and consensus-based guideline on postoperative delirium (2017)

United Kingdom

National Institute for Health and Care Excellence (NICE): Clinical guideline on delirium ─ Prevention, diagnosis and management (2010, updated 2019)

Scottish Intercollegiate Guidelines Network (SIGN): A national clinical guideline for risk reduction and management of delirium (2019)

NICE: Quality standard for care of dying adults in the last days of life (2017)

NICE: Quality standard for transition between inpatient hospital settings and community or care home settings for adults with social care needs (2016)

Healthcare Improvement Scotland (NIS) and National Health Service (NHS) Scotland: Scottish palliative care guidelines on delirium (2015)

NICE: Guideline for care of dying adults in the last days of life (2015)

NICE: Guidelines for transition between inpatient hospital settings and community or care home settings for adults with social care needs (2015)

Association of Anaesthetists of Great Britain and Ireland (AABI): Guidelines for peri-operative care of the elderly (2014)

British Geriatrics Society (BGS), Age UK, and Royal College of General Practitioners (RCGP): Best practice guidelines for the management of frailty (2014)

NICE: Quality standard on delirium in adults (2014)

Australia-New Zealand

Choosing Wisely Australia: Do not prescribe benzodiazepines or other sedative-hypnotics to older adults as first choice for insomnia, agitation or delirium

Choosing Wisely Australia: Do not use physical restraints to manage behavioural symptoms of hospitalized older adults with delirium except as a last resort

Australian Commission on Safety and Quality in Health Care (ACSQH): Clinical care standard on delirium (2016)

Australian and New Zealand Society for Geriatric Medicine (ANZGM): Position statement on delirium in older people (2012)

Japan

[In Japanese] Japanese Society of Intensive Care Medicine (JSICM): Japanese guidelines for the management of pain, agitation, and delirium in intensive care unit (J-PAD) (2014)

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