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August 29, 2026Australasian Journal on AgeingOpen Access

Detected Delirium Prevalence and Practices in Australia and New Zealand: A Sub‐Analysis of the World Delirium Awareness Day Prevalence Study

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Authors

SHShiny HuangUNSW SydneyRWRobert WelschingerUNSW SydneyCAChristina AggarAustralian Institute of Business

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Implication

Cross-sectional study reports a 16% detected delirium prevalence in hospitalised inpatients, highlighting persistent reliance on antipsychotics despite non-pharmacological care.

Key Points

  • To describe the detected prevalence of delirium and characterize current delirium assessment, prevention, and management practices across Australian and New Zealand healthcare settings.
  • Sub-analysis of Australian and New Zealand data from an international cross-sectional survey conducted on World Delirium Awareness Day 2023.
  • Audited delirium assessment tools, frequencies, and interventions across 257 inpatient wards of diverse medical specialties and acuity levels using local clinical practices.
  • Detected delirium prevalence was 16% at both 8:00 AM (n = 637/4033) and 8:00 PM (n = 609/3836), with ward assessment rates reaching 63% at both time points (n = 4033/6369 and n = 3836/6091).
  • Validated screening instruments (primarily 4AT and CAM) were used on 93% of wards, alongside widespread non-pharmacological interventions such as hydration (87%), mobilisation (84%), and pain management (84%).
  • Frequent antipsychotic prescribing was reported—notably risperidone (36%), haloperidol (35%), and quetiapine (31%)—with staff shortages (70%) and lack of training time (53%) identified as major care barriers.

Cite This Study

Huang et al. (2026) studied this question.

synapsesocial.com/papers/6a92996e8e5d7d1fc0c11565https://doi.org/10.1111/ajag.70227
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Also Consider

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