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ACP Journal Club |21 July 2015

Review: Multicomponent nonpharmacologic interventions reduce incident delirium in inpatients

Calvin Hirsch, MD

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Hshieh TT, Yue J, Oh E, et al. Effectiveness of multicomponent nonpharmacological delirium interventions: a meta-analysis. JAMA Intern Med. 2015;175:512-20. 25643002

Hospitalists:

Geriatrics:

In older hospitalized patients, do nonpharmacologic multicomponent interventions (NPMIs) reduce incident delirium?
Included studies compared NPMIs to prevent delirium with controls in hospital inpatients and measured delirium incidence during hospitalization with a validated delirium instrument. Studies were included if the mean or median age of included patients was ≥ 65 years. Studies of patients with terminal illness were excluded. Outcomes included delirium incidence, falls, length of hospital stay, discharge to institution, change in functional status, and change in cognitive status.
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Hirsch C. Review: Multicomponent nonpharmacologic interventions reduce incident delirium in inpatients. Ann Intern Med. ;163:JC4. doi: 10.7326/ACPJC-2015-163-2-004

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Published: Ann Intern Med. 2015;163(2):JC4.

DOI: 10.7326/ACPJC-2015-163-2-004

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