Delirium in hospitalised patients is a common problem (estimated rates of delirium ranging from 14% to 56%) which increases the risks of patient morbidity and mortality.
This systematic review evaluates the effectiveness and safety of in-house multi-component delirium prevention programmes. Evidence from 19 studies indicates that multi-component delirium prevention interventions (sometimes called care-bundles) can be effective in preventing delirium in at-risk patients in hospitals. Little is known about the value and effectiveness of similar programmes in other care settings.
Further studies to explore the comparative effectiveness of different delirium prevention programmes, using standardized protocols, are required to help identify which specific components of intervention are more effective in delirium prevention.
Reston, JT. Schoelles, KM. (2013). In-facility delirium prevention programs as a patient safety strategy: a systematic review. Annals of Internal Medicine, March 5th 2013, Vol.158(5 Pt 2), pp.375-80. (Click here to view the PubMed abstract).
[A brief reference to this item features in Dementia and Elderly Care: the Latest Evidence Newsletter (RWNHST), Volume 3 Issue 9, August 2013].