+AA
Fr
Back
Clinician Article

Preventing delirium in an acute hospital using a non-pharmacological intervention.



  • Martinez FT
  • Tobar C
  • Beddings CI
  • Vallejo G
  • Fuentes P
Age Ageing. 2012 Sep;41(5):629-34. doi: 10.1093/ageing/afs060. Epub 2012 May 15. (Original)
PMID: 22589080
Read abstract Read full text
Disciplines
  • Hospital Doctor/Hospitalists
    Relevance - 7/7
    Newsworthiness - 5/7
  • Internal Medicine
    Relevance - 7/7
    Newsworthiness - 5/7
  • Geriatrics
    Relevance - 6/7
    Newsworthiness - 6/7

Abstract

BACKGROUND: delirium is a clinical syndrome associated with multiple short and long-term complications and therefore prevention is an essential part of its management. This study was designed to assess the efficacy of multicomponent intervention in delirium prevention.

METHODS: a total of 287 hospitalised patients at intermediate or high risk of developing delirium were randomised to receive a non-pharmacological intervention delivered by family members (144 patients) or standard management (143 patients). The primary efficacy outcome was the occurrence of delirium at any time during the course of hospitalisation. Three validated observers performed the event adjudication by using the confusion assessment method screening instrument.

RESULTS: there were no significant differences in the baseline characteristics between the two groups. The primary outcome occurred in 5.6% of the patients in the intervention group and in 13.3% of the patients in the control group (relative risk: 0.41; confidence interval: 0.19-0.92; P = 0.027).

CONCLUSION: the results of this study show that there is a benefit in the non-pharmacological prevention of delirium using family members, when compared with standard management of patients at risk of developing this condition.


Clinical Comments

Geriatrics

There are few randomized studies in delirium, and the article documents a simple but effective intervention to prevent it.

Internal Medicine

Very relevant information, although not very new. Some methodological flaws (like masking) overshadow the relevance of their results.

Register for free access to all Professional content

Register
Want the latest in aging research? Sign up for our email alerts.
Subscribe

Support for the Portal is largely provided by the Labarge Optimal Aging Initiative. AGE-WELL is a contributing partner. Help us to continue to provide direct and easy access to evidence-based information on health and social conditions to help you stay healthy, active and engaged as you grow older. Donate Today.

© 2012 - 2020 McMaster University | 1280 Main Street West | Hamilton, Ontario L8S4L8 | +1 905-525-9140 | Terms Of Use