Trillium Health Partners, Mississauga, Ontario, Canada.
University of Toronto, Ontario, Canada.
J Appl Gerontol. 2022 Mar;41(3):881-891. doi: 10.1177/07334648211018032. Epub 2021 Jun 2.
Interprofessional geriatric consultation teams and multicomponent interventions are established models for delirium care. They are combined in interprofessional consultative delirium team interventions; however, insight into this novel approach is lacking.
To describe the effectiveness and core components of consultation-based interventions for delirium.
Ovid MEDLINE, EMBASE, PsycINFO, CINAHL, and ProQuest. Data on core intervention components, outcomes, facilitators, and barriers were extracted.
10 studies were included. Core intervention components were systematic delirium screening, ongoing consultation, implementation of non-pharmacologic and pharmacological interventions, and staff education. Of the included studies, 1/6 found a significant reduction in delirium incidence, 1/2 a reduction in delirium duration, and 2/3 found a reduction in falls. Facilitators and barriers to implementation were discussed.
There was consistency in team structure and core components, however intervention operationalization and effectiveness varied widely. There is some evidence that this model is effective for reducing delirium and its sequelae.
跨专业老年病学咨询团队和多组分干预措施是治疗谵妄的成熟模式。它们结合了跨专业谵妄咨询团队干预措施；然而，对这种新方法的了解还很缺乏。
描述基于咨询的谵妄干预措施的有效性和核心组成部分。
Ovid MEDLINE、EMBASE、PsycINFO、CINAHL 和 ProQuest。提取了核心干预组成部分、结果、促进因素和障碍的数据。
纳入了 10 项研究。核心干预组成部分包括系统的谵妄筛查、持续的咨询、非药物和药物干预的实施以及员工教育。纳入的研究中，有 1/6 发现谵妄发生率显著降低，1/2 发现谵妄持续时间缩短，2/3 发现跌倒减少。还讨论了实施的促进因素和障碍。
团队结构和核心组成部分具有一致性，但是干预措施的实施和效果差异很大。有一些证据表明，这种模式对减少谵妄及其后果是有效的。
