ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019
Quality of care in hospitalized cancer patients before and after implementation of a systematic prevention program for delirium: the DELTA exploratory trial.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 40 citations in OpenAlex.
- Effect of a communication robot in the prevention of postoperative delirium in older persons: A randomized controlled trial.PloS one · 2025Trial
- Perioperative switching to lemborexant for prevention of delirium in older cancer patients with insomnia taking GABASupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Development and validation of the Delirium Burden Scale for Healthcare Providers (DBS-HCP).PCN reports : psychiatry and clinical neurosciences · 2025Article
- Effect of Lemborexant-Based Sleep Medication Formulary on Benzodiazepine Reduction and Clinical Outcomes: A Single-Center Retrospective Study.Neuropsychopharmacology reports · 2025Article
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- Medical staff's knowledge of delirium by occupation and the effectiveness of an on-demand e-learning.PCN reports : psychiatry and clinical neurosciences · 2025Article
- Evaluation of the effects of a team-based systematic prevention and management program for postoperative orthopedic older patients: A retrospective cohort study.PCN reports : psychiatry and clinical neurosciences · 2024Article
- Can Lemborexant for Insomnia Prevent Delirium in High-Risk Patients with Pancreato-Biliary Disease after Endoscopic Procedures under Deep Sedation?Journal of clinical medicine · 2022Article
- Observational
- Delirium in Patients with COVID-19 in Japan.Internal medicine (Tokyo, Japan) · 2022Article
- Nursing support for symptoms in patients with cancer and caregiver burdens: a scoping review protocol.BMJ open · 2022Article
- Demographic and clinical characteristics of patients with delirium: analysis of a nationwide Japanese medical database.BMJ open · 2022Observational
- Pilot Study of Lemborexant for Insomnia in Cancer Patients with Delirium.Journal of palliative medicine · 2022Observational
- The detection of delirium in admitted oncology patients: a scoping review.European geriatric medicine · 2022Article
- The assessment of risk factors for postoperative delirium using cubic spline curves in gastroenterological surgery.Surgery today · 2021Article
- Clinical outcomes associated with anticholinergic burden in older hospitalized patients with advanced cancer: a single-center database study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Best Practices in the Management of Nonmedical Opioid Use in Patients with Cancer-Related Pain.The oncologist · 2020Review
- Impact of a delirium prevention project among older hospitalized patients who underwent orthopedic surgery: a retrospective cohort study.BMC geriatrics · 2019Observational
Corrections and comments
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Authors and funding
11 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundWe evaluated whether the DELirium Team Approach (DELTA) program-a systematic management program aimed at screening high-risk groups and preventing delirium-would improve quality of care in patients hospitalized with cancer.
methodsA retrospective before-after study was conducted during a pre-intervention period (between October 2012 and March 2013) and a post-intervention period (between October 2013 and March 2014) at a Japanese hospital providing specialized treatments for cancer. A total of 4180 inpatients were evaluated before the implementation of the DELTA program and 3797 inpatients were evaluated after implementation.
resultsAfter program implementation, the incidence of delirium decreased from 7.1 to 4.3% (odds ratio [OR], 0.52; 95% CI, 0.42-0.64). The incidence of adverse events, including falls or self-extubation, also decreased, from 3.5 to 2.6% (OR, 0.71; 95% CI, 0.54-0.92). There was a significant decrease in the prescription of benzodiazepines (OR, 0.79; 95% CI, 0.71-0.87), increase in the level of independence in activities of daily living at discharge (OR, 1.94; 95% CI, 1.11-3.38), and decrease in the length of stay (risk ratio 0.90; 95% CI, 0.90-0.90).
conclusionsThe systematic management program for delirium decreased the incidence of delirium and improved several clinical outcomes. These data suggest that this simple cost-effective program is feasible and implementable as routine care in busy wards.
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