Deeken et al., 2022[@192881] |
Stepped-wedge cluster RCT |
5 German tertiary medical centres |
1470 patients, aged 70 years or older undergoing elective surgery |
Multi-component delirium prevention program |
Postoperative delirium incidence |
Unadjusted relative risk [RR], 0.67 [95%CI, 0.48 to 0.93] in noncardiac surgery patients |
Large study with validated assessment tool
No effect on delirium in patients undergoing cardiac surgery |
Multi-component delirium prevention program reduced delirium incidence in noncardiac surgery patients |
Park et al.,
2022[@192883] |
Retrospective case-control study |
Single, level 1 trauma centre in U.S. |
712 patients aged 65 years or older seen for traumatic injury, not undergoing an operation |
Implementation of geriatric best practices |
Delirium incidence |
Adjusted odds ratio [OR], 0.54 [95%CI, 0.37 to 0.80] |
Broad inclusion criteria
Assessments performed by nursing staff could cause heterogeneity, pre-post design |
Multidisciplinary clinical pathway for injured older adults was associated with reduced delirium incidence |
Zhang et al., 2021[@192884] |
Double blinded, RCT |
Single level 1 trauma centre in China |
170 children (aged 3-7) undergoing ENT surgery |
Pre-operative breathing training |
Emergence delirium |
10.4% (intervention) vs 35.1% (control) delirium incidence p<0.001 |
Novel, well-match groups
Small sample, single centre study could limit external validity |
Breathing training during the preoperative visit in decreased incidence of emergence delirium. |