The effectiveness of non-pharmacological interventions in reducing the incidence and duration of delirium in critically ill patients: a systematic review and meta-analysis

Bannon, Leona; McGaughey, Jennifer; Verghis, Rejina; Clarke, Mike; McAuley, Daniel F.; Blackwood, Bronagh

doi:10.1007/s00134-018-5452-x

Cited by 76 publications

(57 citation statements)

References 47 publications

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“…Nurses should assess gaps between the patient's prehospitalization and current functional abilities and should support functional reconciliation. Non‐pharmacological interventions can also be important to restore the patient's ordinary daily function in the hospital environment . Family involvement also plays a key role .…”

Section: Introductionmentioning

confidence: 99%

Post‐intensive care syndrome: its pathophysiology, prevention, and future directions

Inoue

Hatakeyama

Kondo

et al. 2019

Acute Medicine & Surgery

402

365

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Expanding elderly populations are a major social challenge in advanced countries worldwide and have led to a rapid increase in the number of elderly patients in intensive care units (ICUs). Innovative advances in medical technology have enabled lifesaving of patients in ICUs, but there remain various problems to improve their long‐term prognoses. Post‐intensive care syndrome (PICS) refers to physical, cognition, and mental impairments that occur during ICU stay, after ICU discharge or hospital discharge, as well as the long‐term prognosis of ICU patients. Its concept also applies to pediatric patients (PICS‐p) and the mental status of their family (PICS‐F). Intensive care unit‐acquired weakness, a syndrome characterized by acute symmetrical limb muscle weakness after ICU admission, belongs to physical impairments in three domains of PICS. Prevention of PICS requires performance of the ABCDEFGH bundle, which incorporates the prevention of delirium, early rehabilitation, family intervention, and follow‐up from the time of ICU admission to the time of discharge. Diary, nutrition, nursing care, and environmental management for healing are also important in the prevention of PICS. This review outlines the pathophysiology, prevention, and future directions of PICS.

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Section: Introductionmentioning

confidence: 99%

Post‐intensive care syndrome: its pathophysiology, prevention, and future directions

Inoue

Hatakeyama

Kondo

et al. 2019

Acute Medicine & Surgery

402

365

View full text Add to dashboard Cite

show abstract

“…We conducted a systematic review of studies evaluating non-pharmacological interventions for delirium management in critically ill patients to determine which interventions were most effective for reducing the incidence and/or duration of delirium (9) . Findings indicated a number of effective interventions, some that could be delivered singly or in combination (11 -19) .…”

Section: Introductionmentioning

confidence: 99%

Designing a nurse-delivered delirium bundle: What intensive care unit staff, survivors, and their families think?

Bannon

McGaughey

Clarke

et al. 2018

Australian Critical Care

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“…134 Consequently, there are no comprehensive data supporting the use of bright-light therapy in the critically-ill patients. 135,136 Within a systematic review evaluating the effect of light and darkness on the outcome of ICU patients, the authors emphasize that heterogeneity among interventions and designs is high, which makes interpretation of results and a general conclusion difficult. 137 Major limitations among most of the reviewed studies are that patients were either sedated or that depth of sedation was poorly documented.…”

Section: Using Artificial Lightmentioning

confidence: 99%

Innovative ICU Solutions to Prevent and Reduce Delirium and Post–Intensive Care Unit Syndrome

Luetz

Grunow

Mörgeli

et al. 2019

Semin Respir Crit Care Med

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Delirium, the most common form of acute brain dysfunction affecting up to 80% of intensive care unit (ICU) patients, has been shown to predict long-term cognitive impairment, one of the domains in “Post-ICU Syndrome” (PICS). The ICU environment affects several potentially modifiable risk factors for delirium, such as disorientation and disruption, of the sleep–wake cycle. Innovative solutions aim to transform standard concepts of ICU room design to limit potential stressors, and utilizing the patient care space as a treatment tool, exerting positive, therapeutic effects. The main areas affected by most architectural and interior design modifications are sound environment, light control, floor planning, and room arrangement. Implementation of corresponding solutions is challenging considering the significant medical and technical demands of ICUs. This article discusses innovative concepts and promising approaches in ICU design that may be used to prevent stress and to support the healing process of patients, potentially limiting the impact of delirium and PICS.

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The effectiveness of non-pharmacological interventions in reducing the incidence and duration of delirium in critically ill patients: a systematic review and meta-analysis

Abstract: The effectiveness of non-pharmacological interventions in reducing the incidence and duration of delirium in critically ill patients: a systematic review and meta-analysis Short running titleNon-pharmacological interventions for delirium

Cited by 76 publications

References 47 publications

Post‐intensive care syndrome: its pathophysiology, prevention, and future directions

Post‐intensive care syndrome: its pathophysiology, prevention, and future directions

Designing a nurse-delivered delirium bundle: What intensive care unit staff, survivors, and their families think?

Innovative ICU Solutions to Prevent and Reduce Delirium and Post–Intensive Care Unit Syndrome

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