Functional Status Outcomes of a Nursing Intervention in Hospitalized Elderly

Wanich, Christine K.; Sullivan-Marx, Eileen M.; Gottlieb, Gary; Johnson, Jerry

doi:10.1111/j.1547-5069.1992.tb00719.x

Cited by 77 publications

(80 citation statements)

References 30 publications

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“…6,7 Moreover, the incidence of delirium will probably increase with the aging of the population. 8 Previous interventional studies of delirium have focused on four types of intervention: general geriatric approaches, [9][10][11][12][13][14] nursing care, [15][16][17][18][19] family interventions, 20 and anesthesia. [21][22][23] Although in most of the studies there were trends toward a reduction in delirium in the intervention group, in most cases the reduction was not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

A Multicomponent Intervention to Prevent Delirium in Hospitalized Older Patients

Bogardus²,

et al. 1999

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Section: Discussionmentioning

confidence: 99%

A Multicomponent Intervention to Prevent Delirium in Hospitalized Older Patients

Bogardus²,

et al. 1999

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“…3,4 Delirium is often not recognized, [5][6][7] and intervention benefits to date have shown to be limited. [8][9][10] Thus, prevention through identification of a high-risk group is indicated.…”

mentioning

confidence: 99%

Delirium risk factors in elderly hospitalized patients

et al. 1998

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OBJECTIVE: Delirium is frequent in elderly hospitalized patients. Many studies have examined its risk factors, but results have been quite variable. Thus, the goal of this study is to identify through systematic literature review the risk factors associated with the development of delirium in hospitalized geriatric patients. MEASUREMENTS AND MAIN RESULTS:First, MEDLINE / CURRENT CONTENTS databases were screened for relevant articles published from 1966 to December 1995, and from bibliographies of identified articles additional reports were selected. Second, the reports were screened by two different investigators and retained only if meeting the five following criteria: (1) original research in French or English; (2) prospective study; (3) patients over age 50; (4) minimum of one risk factor examined; (5) acceptable definition of delirium. Third, the methodology of each study was graded according to specific criteria for risk factor studies. Fourth, risk factors were identified and tabulated, unadjusted odds ratios (ORs) were computed, and where appropriate a combined OR with the Mantel-Haenszel estimator was calculated. Twenty-seven articles were retained meeting all of the above criteria. Among these studies, 11 were done on medical patients, 9 on surgical patients, 2 on medical and surgical patients, and 5 on psychiatric patients. In total 1,365 subjects with delirium were studied. Sixty-one different risk factors were examined, the five most common being dementia, medication, medical illness, age, and male gender. Mantel-Haenszel estimator was calculated for 10 risk factors, the most strongly associated being dementia (OR 5.2; 95% confidence interval [CI] 4.2, 6.3), medical illness (OR 3.8; 95% CI 2.2, 6.4), alcohol abuse (OR 3.3; 95% CI 1.9, 5.5), and depression (OR 1.9; 95% CI 1.3, 2.6). Methodologic weaknesses were present in many studies.

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“…Two of these trials [20,22] had a treatment component and are also included in detection and treatment studies.…”

Section: Resultsmentioning

confidence: 99%

“…The selection process yielded 10 trials (table 1), 4 randomized [13][14][15][16] and 6 nonrandomized [17][18][19][20][21][22]. Two of these trials [20,22] had a treatment component and are also included in detection and treatment studies.…”

Section: Resultsmentioning

confidence: 99%

Delirium: Effectiveness of Systematic Interventions

Cole¹

1999

Dement Geriatr Cogn Disord

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The purpose of this paper was to review evidence related to the effectiveness of systematic interventions in preventing or detecting and treating delirium. The review process involved a systematic search of the literature on each topic, assessment of the validity of the studies retrieved and examination of their results. The literature search identified 10 studies on prevention and 7 studies on detection and treatment. A broad spectrum of systematic interventions appeared to be modestly effective in preventing delirium in young and old surgical patients but not elderly medical patients. Systematic detection and treatment programs and special nursing care appeared to add large benefits to traditional medical care in young and old surgical patients and modest benefits in elderly medical patients; however, it seemed that the more precise the target of the detection and treatment program, the greater the benefit.

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Functional Status Outcomes of a Nursing Intervention in Hospitalized Elderly

Cited by 77 publications

References 30 publications

A Multicomponent Intervention to Prevent Delirium in Hospitalized Older Patients

A Multicomponent Intervention to Prevent Delirium in Hospitalized Older Patients

Delirium risk factors in elderly hospitalized patients

Delirium: Effectiveness of Systematic Interventions

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