Prevalence and interconnectedness of delirium, dementia, and frailty pathways in clinical settings: a survey of geriatricians across Europe

Aim: To explore the prevalence, overall and across specific clinical areas, of integrated care pathways for delirium, dementia, and frailty, and their interconnectedness, in European clinical settings. Findings: Integrated care pathways for delirium, dementia, and frailty are variably implemented across clinical settings in Europe. While dementia and frailty pathways frequently include delirium-related assessments, frailty screening in dementia and delirium pathways is low, and the differentiation between the management of delirium and delirium-superimposed-on-dementia is limited. Message: There is a need for greater integration of clinical care delivery to prevent fragmented approaches to the geriatric syndromes of delirium, dementia, and frailty.