CO06 | Effectiveness of a delirium prevention programme in an Internal Medicine ward
Year: 2025
Type: article
Abstract: Premises and Purpose of the study: Delirium is extremely common in the adult hospitalised patient and has negative consequences. In our study we evaluate the ability of a non-drug multifactorial intervention to prevent the onset of delirium in a hospitalised population at risk.Materials and Methods: Between April and June 2023, all patients admitted to our ward were assessed for the risk of developing delirium during their hospitalisation. Patients at risk of delirium were monitored by daily administration of the 4ATtest and were admitted to a delirium prevention area, where a multidisciplinary prevention intervention was implemented, or to the general ward. The intervention included cognitive reconditioning (each room was equipped with a calendar, a clock and occupational therapy materials), a non-drug sleep hygiene programme (reducing noise, lights and non-essential care activities at night, offering an evening hot drink), extended visiting time for relatives and an early mobilisation programme.Results: Forty-six patients were included in the study. Delirium occurred in two patients admitted to the delirium prevention area (incidence 8.7%) and in four patients in the general ward (incidence 17.4%). These results agree with a recent systemic review by the Cochrane.Conclusions: Our study demonstrates that a non-pharmacological multidisciplinary intervention can reduce the incidence of delirium, thus enhancing the quality of care provided. This study is just the starting point for extending to the whole ward a delirium prevention programme that has proven effective in preventing delirium.
Source: Italian Journal of Medicine
Authors: Vo Van Kha, Tran Thi Huong Ly, Pham Thi Thanh Hoa, Vo Huynh Nhu, Damas Hendriansyah, Nusratuddin Abdullah, Rudy B. Leonardy, Mardiah Tahir, Samrichard Rambulangi, Firdaus Hamid, Filomena Pietrantonio, Vera Kopsaj, Francesco Rosiello, Aurora Tomassoni, Luca Moriconi, Donatella Padua, Kiki Rizki Amelia, Efendi Lukas, Nurbani Bangsawan, Isharyah Sunarno, Retno Budiarti Farid, Sriwijaya Qadar, Rabab H. Elshaikh, Ashok Kumar Sah, Abdelrahman Mohamed Abukanna, Abdulrahman Algarni, Ammar Abdelmola, Hussam Ali Osman, Tagwa Yousif Elsayed Yousif, Elryah I. Ali, Hiba Ali, Ayman Hussein Alfeel, Thanh Long Nguyen, Victor Storm, Lam Toi Phung, Cong Thien Le, Thi Thu Ha Le, Thi Hoa Nguyen, Son Tung Vu, Thien Thang Tran, Minh Hanh Vu, Van Tuan Nguyen, Francesco Ventrella, Anna Belfiore, Antonio Greco, Franco Mastroianni, Salvatore Lenti, Domenico Ruggiero, Michele Cannone, Vincenzo Ostilio Palmieri, Massimo Errico, Giuseppe Mancia, Guido Grassi, Sverre E. Kjeldsen
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4413798625