Evidence map›Paper›PMID 23251311›Full record

ArticleCanadian geriatrics journal : CGJ2011

Developing guidelines on the assessment and treatment of delirium in older adults at the end of life.

Susan Brajtman, David Wright, David B Hogan, Pierre Allard, Venera Bruto, Deborah Burne, Laura Gage, Pierre R Gagnon, Cheryl A Sadowski, Sherri Helsdingen and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Canadian geriatrics journal : CGJ, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02345902 (Randomized Double-Blind Clinical Trial to Compare Haloperidol and Non-Pharmacologic Treatment Versus Non-Pharmacologic Treatment and Placebo, in Elderly Hospitalized Patients With Hypoactive Delirium), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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.

NCT02345902 phase3unknown statusnot on this mapstarted 2016, after this paper: background citation

Randomized Double-Blind Clinical Trial to Compare Haloperidol and Non-Pharmacologic Treatment Versus Non-Pharmacologic Treatment and Placebo, in Elderly Hospitalized Patients With Hypoactive Delirium

TypeinterventionalSponsorInstituto Nacional de Ciencias Medicas y Nutricion Salvador ZubiranRan2016 to 2018Enrolled60ConditionsHypoactive DeliriumArmsHaloperidol, Placebo, non-pharmacologic measures
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. 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

11 authors.

Susan BrajtmanSchool of Nursing, University of Ottawa, Ottawa, ON.
David Wright
David B Hogan
Pierre Allard
Venera Bruto
Deborah Burne
Laura Gage
Pierre R Gagnon
Cheryl A Sadowski
Sherri Helsdingen
Kimberley Wilson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeDelirium at the end of life is common and can have serious consequences on an older person's quality of life and death. In spite of the importance of detecting, diagnosing, and managing delirium at the end of life, comprehensive clinical practice guidelines (CPG) are lacking. Our objective was to develop CPG for the assessment and treatment of delirium that would be applicable to seniors receiving end-of-life care in diverse settings.

methodsUsing as a starting point the 2006 Canadian Coalition for Seniors' Mental Health CPG on the assessment and treatment of delirium, a team of palliative care researchers and clinicians partnered with members of the original guideline development group to adapt the guidelines for an end-of-life care context. This process was supported by an extensive literature review. The final guidelines were reviewed by external experts.

resultsComprehensive CPG on the assessment and treatment of delirium in older adults at the end of life were developed and can be downloaded from http://www.ccsmh.ca.

conclusionsFurther research is needed on the implementation and evaluation of these adapted delirium guidelines for older patients receiving end-of-life care in various palliative care settings.

Indexed as

Deliriumend of lifeevidence-based practiceguidelinesolder adultspalliative care

Identifiers

PMID23251311
PMCPMC3516346

What OpenQuestion holds

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Registered trials

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.