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Effective Interventions for Preventing and Reducing Delirium in Acute Hospital Setting

   

Added on  2022-10-10

11 Pages2346 Words388 Views
Running head: Nursing 1
Nursing
by
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Nursing 2
Which Interventions are Effective in Preventing and Reducing the Incidence of Delirium in
the Acute Hospital Setting?
Search strategy
An electronic search of the PMC, Oxford, MEDLINE, and Cochrane Collaboration of clinical
trials was carried out using the following keywords “delirium”, “prevent delirium”, “reduce
delirium”, “the incidence of delirium”, and “acute hospital setting”. The search was restricted to
primary research articles, published in the English language and not older than 8 years. A
PRISMA flow diagram was used to determine the articles to be included in the review. A total of
10 articles were identified during the database search using the key terms. The screening was
then done and the articles were limited to primary research articles leading to the exclusion of
four articles, after reviewing of the abstracts, two more articles was excluded. The rest of the
articles were assessed for eligibility and one article was excluded because it was restricted to
cancer patients diagnosed with delirium. Three articles were included in the final analysis. Data
was then extracted using the data extraction table obtained from Cloud Deakin.

Nursing 3
Record identification through database
search using key terms (n=10)
“delirium”, “prevent delirium”, “reduce
delirium”, “the incidence of delirium”, and
“acute hospital setting
Limited to primary research
(n=6)
2 Articles eliminated after
review of abstracts
(n=4)
Primary research articles
assessed for eligibility (n=4)
Records excluded (1)
• restricted to cancer
patients diagnosed
with delirium
n=3
Articles included in the final
analysis (n=3)
IdentificationScreeningEligibilityIncluded

Nursing 4
Extraction tables
Article by Martinez, Tobar, Beddings, Vallejo, and Fuentes (2012).
Areas of Analysis Analysis
Purpose/aim of the study To evaluate the efficacy of multicomponent
intervention in delirium prevention in acute
hospital
Sample The sample of the study consisted of 287
hospitalized patients with high risk or
intermediate delirium at Hospital Naval
Almirante.
Design Single-blind randomized control trial
Key findings There were no significant variations in the
baseline features of the two groups (group
receiving non-pharmacological intervention
using the family members and the one
receiving the standard management. A 13.3%
primary outcome was observed in the control
group whereas 5.6% was observed in the
intervention group. Non-pharmacological
prevention of delirium when delivered using
family members is more effective in the
prevention of delirium.
Level of evidence Level II
Article by Colombo et al. (2012)
Areas of Analysis Analysis
Purpose/aim of the study To determine the efficacy of reorientation
strategy in the reduction of incidences of
delirium in the intensive care unit.
Sample All patients admitted to ICU and meeting the
inclusion criteria, i.e. n=314
Design A two-stage prospective observational study
was used to examine the prevalence of
delirium, risk factors and the its effect on

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