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Music Interventions and Delirium in Adults: A Systematic Literature Review and Meta-Analysis

Golubovic J, Neerland BE, Aune D, Baker FA

Brain sciences · 29 citas

Cómo se estudió

Diseño
Metaanálisis (clasificado por nuestro filtro de IA)
Estudiado en
Personas
Resultado principal
Eventos clínicos como enfermedad o muerte

Quién lo pagó

Financiación
Financiación independiente
Universidad u hospital
Norwegian Academy of Music
Universidad u hospital
the Norwegian Academy of Music

Según 2 financiadores declarados y la declaración de financiación del texto completo.

Publicación

Publicado
2022-04-28 · Brain Sci · vol. 12 · número 5 · pág. 568
Editorial
Multidisciplinary Digital Publishing Institute
Citado
41 citas · más que el 79% de estudios similares · 1.5× el promedio de su campo
Referencias
47 trabajos
Acceso
Acceso abierto (revista) · CC-BY
Áreas de investigación
Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Neuroscience and Music Perception
Palabras clave
Psychological intervention, Meta-analysis, Delirium, Psychology, Systematic review, MEDLINE, Medicine, Psychiatry, Political science

4 autores

  • Jelena Golubovic🇦🇺🇳🇴 · autor de correspondenciaThe University of Melbourne; Norwegian Academy of Music
  • Bjørn Erik Neerland🇳🇴Oslo University Hospital
  • Dagfinn Aune🇳🇴🇸🇪🇬🇧Oslo University Hospital; OsloMet – Oslo Metropolitan University; Karolinska Institutet; Imperial College London
  • Felicity Anne Baker🇦🇺🇳🇴The University of Melbourne; Norwegian Academy of Music

Resumen

El texto original del estudio, en el idioma en que se publicó.

Delirium is a neuropsychiatric syndrome represented by an acute disturbance in attention, awareness and cognition, highly prevalent in older, and critically ill patients, and associated with poor outcomes. This review synthesized existing evidence on the effectiveness of music interventions on delirium in adults, and music interventions (MIs), psychometric assessments and outcome measures used. We searched MEDLINE, PsychINFO, SCOPUS, Clinical Trials and CENTRAL for quantitative designs comparing any MIs to standard care or another intervention. From 1150 studies 12 met the inclusion criteria, and 6 were included in the meta-analysis. Narrative synthesis showed that most studies focused on prevention, few assessed delirium severity, with the majority of studies reporting beneficial effects. The summary relative risk for incident delirium comparing music vs. no music in postsurgical and critically ill older patients was 0.52 (95% confidential interval (CI): 0.20−1.35, I2 = 79.1%, heterogeneity <0.0001) for the random effects model and 0.47 (95% CI: 0.34−0.66) using the fixed effects model. Music listening interventions were more commonly applied than music therapy delivered by credentialed music therapists, and delirium assessments methods were heterogeneous, including both standardized tools and systematic observations. Better designed studies are needed addressing effectiveness of MIs in specific patient subgroups, exploring the correlations between intervention-types/dosages and delirium symptoms.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).

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