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Delirium management: Letís get physical? A systematic review and meta-analysis

Citation

Haley, MN and Casey, P and Kane, RY and Darzins, P and Lawler, K, Delirium management: Let's get physical? A systematic review and meta-analysis, Australasian Journal on Ageing pp. 1-11. ISSN 1440-6381 (2019) [Refereed Article]

Copyright Statement

Copyright 2019 AJA Inc.

DOI: doi:10.1111/ajag.12636

Abstract

Objective: To investigate whether physical training (alone or in a multi‐component intervention) is effective in preventing delirium or improving outcomes for adult patients with delirium in the hospital setting.

Methods: A systematic review, qualitative synthesis and meta‐analysis of randomised controlled trials identified by searches of electronic databases, combining key concepts of delirium and physical training (the target intervention). Outcomes were incidence of delirium (for prevention trials) and delirium duration, delirium severity and hospital outcomes (for management trials).

Results: Seven trials were included, five of which were multi‐component. The odds of developing delirium were lower for patients who received physical training compared with a control intervention [odds ratio 0.46 (95% confidence interval 0.32‐0.65), P < 0.01] (moderate‐quality evidence). There was insufficient evidence to draw conclusions about managing established delirium.

Conclusions: Strategies incorporating physical training appear to prevent delirium in the hospital setting. More research is required regarding management of established delirium.

Item Details

Item Type:Refereed Article
Keywords:delirium, exercise, physical activity, physical training, physical therapy
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Physiotherapy
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Allied Health Therapies (excl. Mental Health Services)
UTAS Author:Lawler, K (Dr Katherine Lawler)
ID Code:133304
Year Published:2019
Web of Science® Times Cited:1
Deposited By:Wicking Dementia Research and Education Centre
Deposited On:2019-06-22
Last Modified:2019-12-13
Downloads:0

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