Key result
Multicomponent interventions effectively prevented delirium among older patients admitted to hospital with hip fracture (RR 0.75), with a number needed to treat of 7.
Why the study?
Do multicomponent or pharmacologic interventions prevent or improve the management of delirium in older hospitalized patients?
Population
Adults aged 65 years or older admitted to hospital (11 RCTs included in systematic review)
Comparison
Multicomponent interventions and pharmacologic… vs Usual care or placebo
Design
Systematic_review
Authors
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Supports routine multicomponent delirium prevention in older hip fracture patients; confirms Level 1 evidence and warrants integration into care pathways.
Systematic Review (n=1,813)
Do multicomponent or pharmacologic interventions prevent or improve the management of delirium in older hospitalized patients?
Relative Risk: 0.75 (95% CI 0.64–0.88)
Number Needed to Treat: 7
Multicomponent interventions targeting risk factors can effectively prevent delirium in older hospitalized patients, but there is currently insufficient evidence for pharmacologic prevention or management.
Holroyd‐Leduc et al. (2009) conducted a systematic review in Delirium (n=1,813). Multicomponent interventions vs. Usual care was evaluated on Incidence of delirium (RR 0.75, 95% CI 0.64-0.88). Multicomponent interventions effectively prevented delirium among older patients admitted to hospital with hip fracture (RR 0.75), with a number needed to treat of 7.
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