Cochrane · systematic review · CD009537
Interventions for preventing delirium in older people in institutional long‐term care
Woodhouse, R, Burton, JK, Rana, N, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
9
No studies
12
Included studies
NR
No studies 12 · 57.1%Ungraded 0 · 0%Very low 3 · 14.3%Low 1 · 4.8%Moderate 5 · 23.8%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlySingle‐component hydration intervention versus control for preventing delirium in older people in institutional long‐term care
Population: people at risk of delirium in institutional long‐term care
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Prevalence of delirium Not measured Single‐component hydration intervention vs control | no estimate extracted | NR | No studies |
Incidence of delirium NEECHAM Confusion Scale Single‐component hydration intervention vs control | RR 0.85 [0.18, 4] | 1 study · 98 participants | Very low Downgraded: risk of bias, imprecision |
Severity of delirium Single‐component hydration intervention vs control | no estimate extracted | NR | No studies |
Mortality Single‐component hydration intervention vs control | no estimate extracted | NR | No studies |
Cognitive function Single‐component hydration intervention vs control | no estimate extracted | NR | No studies |
Falls Single‐component hydration intervention vs control | no estimate extracted | NR | No studies |
Hospital admissions Single‐component hydration intervention vs control | no estimate extracted | NR | No studies |
Multicomponent educational intervention compared to control for preventing delirium in older people in institutional long‐term care
Population: preventing delirium in older people in institutional long‐term care
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Prevalence of delirium Multicomponent educational intervention vs control | RR 0.57 [0.15, 2.19] | 1 study · 160 participants | Very low Downgraded: risk of bias, imprecision |
Incidence of delirium Multicomponent educational intervention vs control | RR 0.62 [0.16, 2.39] | 1 study · 137 participants | Very low Downgraded: risk of bias, imprecision |
Severity of delirium Multicomponent educational intervention vs control | no estimate extracted | NR | No studies |
Mortality Multicomponent educational intervention vs control | RR 0.82 [0.5, 1.34] | 1 study · 215 participants | Moderate Downgraded: imprecision |
Cognitive function Multicomponent educational intervention vs control | no estimate extracted | NR | No studies |
Falls Multicomponent educational intervention vs control | no estimate extracted | NR | No studies |
Hospital admissions Multicomponent educational intervention vs control | RR 0.67 [0.57, 0.79] | 1 study · 494 participants | Moderate Downgraded: indirectness |
Single‐component medication monitoring and adjustment intervention versus control for preventing delirium in older people in institutional long‐term care
Population: people at risk of delirium in institutional long‐term care
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Prevalence of delirium Single‐component medication monitoring and adjustment intervention vs control | no estimate extracted | NR | No studies |
Incidence of delirium NH‐CAM Single‐component medication monitoring and adjustment intervention vs control | HR 0.42 [0.34, 0.51] | 1 study · 7311 participants | Moderate Downgraded: risk of bias |
Severity of delirium Single‐component medication monitoring and adjustment intervention vs control | no estimate extracted | NR | No studies |
Mortality Single‐component medication monitoring and adjustment intervention vs control | HR 0.88 [0.66, 1.17] | 1 study · 9412 participants | Moderate Downgraded: imprecision |
Cognitive function Single‐component medication monitoring and adjustment intervention vs control | no estimate extracted | NR | No studies |
Falls Fall events Single‐component medication monitoring and adjustment intervention vs control | RR 1.03 [0.92, 1.15] | 1 study · 2275 participants | Low Downgraded: risk of bias |
Hospital admissions Single‐component medication monitoring and adjustment intervention vs control | HR 0.89 [0.72, 1.1] | 1 study · 7599 participants | Moderate Downgraded: imprecision |
Single‐component medication monitoring and adjustment intervention versus control for preventing delirium in older people in institutional long term care
Population: People at risk of delirium in institutional long term care
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Incidence of delirium1 NH CAM Single‐component medication monitoring and adjustment intervention vs control | HR 0.42 [0.34, 0.51] | NR | Moderate Downgraded: risk of bias |
Unplanned hospitalisation1 Admissions to hospital Single‐component medication monitoring and adjustment intervention vs control | HR 0.89 [0.72, 1.1] | NR | Moderate Downgraded: risk of bias |
Mortality1 Mortality Single‐component medication monitoring and adjustment intervention vs control | HR 0.88 [0.66, 1.17] | NR | Moderate Downgraded: risk of bias |
Falls1 Fall events Single‐component medication monitoring and adjustment intervention vs control | RR 1.03 [0.92, 1.15] | NR | Moderate Downgraded: risk of bias |
Single‐component hydration intervention versus control for preventing delirium in older people in institutional long term care
Population: People at risk of delirium in institutional long term care
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Incidence of delirium1 NEECHAM confusion scale Single‐component hydration intervention vs control | RR 0.85 [0.18, 4] | 1 study · 98 participants | Very low Downgraded: risk of bias, imprecision |