Evidence map›Paper›PMID 40689460›Full record

Trial reportPsychogeriatrics : the official journal of the Japanese Psychogeriatric Society2025

Occupational Therapy for Establishing a Morning Routine to Prevent Delirium After Hip Fracture Surgery: A Randomised Controlled Feasibility Study.

Tomoko Kamimura, Keita Tomii

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

2 authors.

Tomoko KamimuraSchool of Health Sciences, Shinshu University, Matsumoto, Nagano, Japan.ORCID https://orcid.org/0000-0003-2973-2064
Keita TomiiDepartment of Rehabilitation, Aizawa Hospital, Matsumoto, Nagano, Japan.

Funding

Japan Society for the Promotion of Science JP19k11320Japan Society for the Promotion of Science JP23k10399
6 · The paper itself

Abstract

backgroundOlder patients are at a greater risk of developing postoperative delirium following hip fractures. Thus, multicomponent, non-pharmacological interventions are recommended for preventing delirium. However, there is no consensus on the specific components that should be included in these interventions. Therefore, we developed an occupational therapy to establish a morning routine (OT-EMR), incorporating the three components recommended in a Cochrane review. This study aimed to assess the feasibility of this program in patients aged ≥ 80 years following acute hip fracture surgery.

methodsThis randomised controlled feasibility trial compared the outcomes of usual occupational therapy with those of OT-EMR, which included daily interventions to support independence in activities of daily living each morning and group therapy sessions. Both groups received standard care, including early mobilisation, nutritional regulation, and other standard measures. The primary outcomes were delirium occurrence within 14 postoperative days and quality of life (QOL) on postoperative days 7 and 14.

resultsForty-nine patients were enrolled (recruitment rate: 51.0%), and 45 patients (mean age: 89.2 years, standard deviation: 5.1) completed the study. The retention rate of the OT-EMR was 88.0%. The respective incidence of delirium and the median duration of delirium were 45.5% and 1.5 days in the OT-EMR group, compared with 56.5% and 3.0 days in the control group. The respective mean QOL values on days 7 and 14 were 0.570 and 0.612 in the OT-EMR group, compared with 0.475 and 0.560 in the control group. Effect sizes were small across all outcomes.

conclusionsImplementation of OT-EMR was feasible, but its effects on delirium incidence and QOL were small. Further improvements in the program implementation and research methods are essential for study continuation. TRAIL REGISTRATION: University Hospital Medical Information Network Clinical Trials Registry number: UMIN000055541.

Indexed as

DeliriumHip FracturesOccupational TherapyPostoperative ComplicationsActivities of Daily LivingAged, 80 and overFeasibility StudiesFemaleHumansMaleQuality of LifeTreatment Outcomedeliriumhip fracturesnon‐pharmacological interventionsoccupational therapyolder patientsprevention

Identifiers

PMID40689460
PMCPMC12278706

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.