The Healthcare Quality Improvement Partnership (HQIP) has published a spotlight audit on delirium in the care received by people with dementia in general hospitals in England and Wales. This audit finds:
- A large proportion (32%) of patients with dementia admitted to hospitals as emergencies do not receive an initial assessment for delirium.
- Questions concerning initial screening / assessments for delirium tend to be interpreted inconsistently.
- Over 25% of such patients do not have confusion or cognitive tests recorded.
- Delirium is often not included (52%) in discharge correspondence.
“The National Audit of Dementia (NAD) is commissioned by the Healthcare Quality Improvement Partnership on behalf of NHS England and the Welsh Government as part of the National Clinical Audit Programme”.
Previous editions of the National Audit of Dementia Care in General Hospitals, by the Royal College of Psychiatrists, appeared in 2011, 2013 and 2017.
National Audit of Dementia: Spotlight Audit 2017-2018. London: Healthcare Quality Improvement Partnership (HQIP), August 9th 2018.
This relates to:
Corrado, O. Swanson, B. [and] Hood, C. [et al]; Royal College of Psychiatrists (2018). National audit of dementia (care in general hospitals) spotlight audit: assessment of delirium in hospital for people with dementia. London: Royal College of Psychiatrists / Healthcare Quality Improvement Partnership (HQIP), August 2018.
Third Round NAD Report
Oddly, the 2017 full audit report was missed accidentally by this website, so here it is (belatedly):
Corrado, O. Swanson, B. [and] Hood, C. [et al]; Royal College of Psychiatrists (2017). National Audit of Dementia care in general hospitals 2016-2017: Third round of audit report. London: Royal College of Psychiatrists, July 13th 2017.
Appendix A: Hospital Scores Table provides snapshot details of hospitals’ strengths and weaknesses.
A New Zealand-Based Delirium Prevalence Study, Concerning Hospitalised Older Patients
The estimated prevalence of delirium in older hospitalised adults, in New Zealand:
Scott, J. Jauhari, S. [and] Pilkington, G. [et al] (2019). A short report on point prevalence of delirium in hospitalised older adult patients in Auckland, New Zealand. Journal of Geriatric Care and Research (JGCR). June 2019. Vol.6(1): pp.9-14.