Evidence map›Paper›PMID 39931958›Full record

Trial reportEmergency medicine Australasia : EMA2025

A pilot trial exploring the use of music in the emergency department and its association with delirium and other clinical outcomes.

Danielle Ní Chróinín, Sandra Wang, Guruprasad Nagaraj, Shiquan Ren, Paul M Middleton, Alison Short

Abstract readPragmatic Clinical Trial
In one paragraph

Trial report in Emergency medicine Australasia : EMA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Danielle Ní ChróinínSouth Western Sydney Clinical School, UNSW Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-7711-9718
Sandra WangSouth Western Sydney Clinical School, UNSW Sydney, Sydney, New South Wales, Australia.
Guruprasad NagarajDepartment of Emergency Medicine, Liverpool Hospital, Sydney, New South Wales, Australia.
Shiquan RenSouth Western Sydney Clinical School, UNSW Sydney, Sydney, New South Wales, Australia.
Paul M MiddletonMedicine and Health, UNSW Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-0760-1098
Alison ShortMedicine and Health, UNSW Sydney, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess potential feasibility of a targeted music intervention trial in older ED patients and association with clinical outcomes.

methodsProspective pragmatic trial of adults aged ≥65 years in the ED, with prevalent delirium or increased risk of incident delirium, receiving either 2-h music intervention via headphones or usual care. The primary outcomes were (i) feasibility as assessed by actual use of the intervention (target 70% of offered patients) and (ii) incident delirium in delirium-free patients.

resultsAmong 211 initially screened patients, 44 were included. The initially planned randomised controlled trial proved difficult due to poor intervention adherence, resulting in a move to patient self-selection to routine care or 2-h music intervention. There were 19 control (13 prevalent delirium) and 25 intervention participants (20 prevalent delirium); 2-h target intervention duration was achieved in 17/25 (68%) patients (8/25 achieving <2 h). Among those without prevalent delirium, incident delirium occurred in 1/6 of control and 4/5 of intervention (P = 0.08). There were no between-group differences in terms of improved or resolved delirium, pain scores or agitation/sedation scores (all P > 0.1).

conclusionsSelf-selected use of a targeted music intervention was feasible in a cohort of older ED patients. While we were likely underpowered to detect associations between intervention and outcome, collection of selected outcome measures proved feasible; these may be helpful in larger scale studies. Exploration of barriers and facilitators to use, as well as preferred delivery methods, are likely to be helpful in wider investigations of music therapy in this high-risk cohort.

Indexed as

DeliriumEmergency Service, HospitalMusic TherapyAgedAged, 80 and overFeasibility StudiesFemaleHumansMalePilot ProjectsProspective StudiesTreatment Outcomeageddeliriumemergency servicehospitalmusicpatient outcome assessment

Identifiers

PMID39931958
PMCPMC11811921

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.