Music interventions and delirium in adults: a systematic literature review and meta-analysis
Author(s)
Golubovic, Jelena
Neerland, Bjorn Erik
Aune, Dagfinn
Baker, Felicity A
Type
Journal Article
Abstract
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.
Date Issued
2022-05
Date Acceptance
2022-04-26
Citation
Brain Sciences, 2022, 12 (5)
ISSN
2076-3425
Publisher
MDPI AG
Journal / Book Title
Brain Sciences
Volume
12
Issue
5
Copyright Statement
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
License URL
Identifier
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000802749300001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=a2bf6146997ec60c407a63945d4e92bb
Subjects
acute confusion
ACUTE CONFUSION
DECLINE
delirium
DEMENTIA
ELDERLY-PATIENTS
HIP
INSTITUTIONALIZATION
Life Sciences & Biomedicine
meta-analysis
music interventions
music therapy
Neurosciences
Neurosciences & Neurology
prevention
QUALITY
RISK
Science & Technology
SURGERY
systematic review
THERAPY
treatment
Publication Status
Published
Article Number
568
Date Publish Online
2022-04-28