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Delirium management: Let’s get physical? A systematic review and meta-analysis

Haley, MN, Casey, P, Kane, RY, Darzins, P and Lawler, K ORCID: 0000-0002-1484-1113 2019 , 'Delirium management: Let’s get physical? A systematic review and meta-analysis' , Australasian Journal on Ageing , pp. 1-11 , doi: 10.1111/ajag.12636.

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

Item Type: Article
Authors/Creators:Haley, MN and Casey, P and Kane, RY and Darzins, P and Lawler, K
Keywords: delirium, exercise, physical activity, physical training, physical therapy
Journal or Publication Title: Australasian Journal on Ageing
Publisher: Wiley-Blackwell Publishing Asia
ISSN: 1440-6381
DOI / ID Number: 10.1111/ajag.12636
Copyright Information:

Copyright 2019 AJA Inc.

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