Cochrane · systematic review · CD013307
Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients
Burton, JK, Craig, L, Yong, SQ, et al. · Cochrane Database of Systematic Reviews · 2021 · 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
8
current version
GRADE rated
6
No studies
2
Included studies
NR
No studies 2 · 25%Ungraded 0 · 0%Very low 1 · 12.5%Low 4 · 50%Moderate 1 · 12.5%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 onlyNon‐pharmacological multicomponent interventions for preventing delirium in hospitalised non‐ICU patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomes No of participants (studies) | no estimate extracted | NR | No studies |
Incidence of delirium during hospital admission validated diagnostic instruments1 3693 participants (14 studies) | RR 0.57 [0.46, 0.71] | 1 study · 14 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Inpatient mortality 2640 participants (10 studies) | RR 1.17 [0.79, 1.74] | 10 studies · 2640 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
New diagnosis of dementia (at any time point after randomisation) Not measured | no estimate extracted | NR | No studies |
Duration of delirium (days) (any time during hospital admission) | no estimate extracted | 6 studies · 351 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Delirium severity (any time during hospital admission) validated diagnostic instruments6 147 participants (5 studies) | no estimate extracted | 5 studies · 6 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Length of hospital admission (days) | no estimate extracted | 10 studies · 3351 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Discharge from hospital to new long‐term care placement 536 participants (1 study) | RR 0.77 [0.55, 1.07] | 1 study · 536 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Non‐pharmacological multicomponent interventions for preventing delirium in hospitalised non‐ICU patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomes No of participants (studies) | no estimate extracted | NR | No studies |
Incidence of delirium during hospital admission validated diagnostic instruments1 3693 participants (14 studies) | RR 0.57 [0.46, 0.71] | 1 study · 14 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Inpatient mortality 2640 participants (10 studies) | RR 1.17 [0.79, 1.74] | 10 studies · 2640 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
New diagnosis of dementia (at any time point after randomisation) Not measured | no estimate extracted | NR | No studies |
Duration of delirium (days) (any time during hospital admission) | no estimate extracted | 6 studies · 351 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Delirium severity (any time during hospital admission) validated diagnostic instruments6 147 participants (5 studies) | no estimate extracted | 5 studies · 6 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Length of hospital admission (days) | no estimate extracted | 10 studies · 3351 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Discharge from hospital to new long‐term care placement 536 participants (1 study) | RR 0.77 [0.55, 1.07] | 1 study · 536 participants | Low Downgraded: risk of bias, imprecision, inconsistency |