Table 1 Summary of included guideline characteristics
Author | Guideline name | Development group | Year | Country | Language | Target population | Consensus method(s) | Psychiatric disorder(s) | AGREE II Rigour Domain Score |
|---|---|---|---|---|---|---|---|---|---|
Allard et al. | Guideline on the Assessment and Treatment of Delirium in Older Adults at the End of Life | Canadian Coalition for Seniors' Mental Health | 2010 | Canada | English | Healthcare professionals working with older adults at the end of life with or at risk of developing delirium | Shekelle et al. method, informal consensus | Delirium | 64% |
American Geriatrics Society | American Geriatrics Society Abstracted Clinical Practice Guideline for Postoperative Delirium in Older Adults | American Geriatrics Society Expert Panel | 2014 | United Kingdom | English | Healthcare professional or healthcare system providing care for older adults in the post-surgical setting | American College of Physicians' Guideline Grading System, Cochrane Risk of Bias, Jadad scoring system | Delirium | 66% |
Brajtman et al. | Developing Guidelines on the Assessment and Treatment of Delirium in Older Adults at the End of Life | Guideline Adaptation Group for the Assessment and Treatment of Delirium in Older Adults at the End of Life | 2011 (based on the 2006 Canadian Coalition for Seniors' Mental Health CPG) | Canada | English | NS | Informal grading scheme, informal consensus | Delirium | 40% |
Bush et al. | Delirium in Adult Cancer Patients: ESMO Clinical Practice Guidelines | European Society for Medical Oncology | 2018 | Canada, Europe | English | Healthcare professionals providing care for patients with cancer | Infectious Diseases Society of America-United States Public Health Service Grading System (adapted), ESMO faculty informal consensus | Delirium | 51% |
Dans et al. | NCCN Guidelines Palliative Care, Version 2.2017 | National Comprehensive Cancer Network | 2017 | United States of America | English | Healthcare professionals providing care for patients with cancer | NS | Delirium | 9% |
Devlin et al. | Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU | Society of Critical Care Medicine | 2018 (update from 2013) | Canada, United States of America | English | Practicing ICU clinicians | GRADE, Cochrane Risk of Bias tool, Newcastle-Ottawa scale, informal consensus using GRADE Evidence to Decision framework | Delirium | 61% |
ACR expert panel | ACR Appropriateness Criteria Acute Mental Status Change, Delirium, and New Onset Psychosis | American College of Radiotherapy | 2019 | United States of America | English | Radiologists, radiation oncologists, and referring physicians | RAND/UCLA Appropriateness Method, GRADE, expert opinion | Delirium | 23% |
Fraser Health | Delirium/Restlessness Symptom Guidelines | Fraser Health | 2006 | Canada | English | Inter-professional healthcare professionals working in various settings | NS | Delirium | 23% |
Grover and Avasthi | Clinical Practice Guidelines for Management of Delirium in Elderly | Department of Psychiatry, Postgraduate Institute of Medical Education & Research | 2018 | India | English | NS | NS | Delirium | 9% |
Harle et al. | Cancer Care Ontario's Symptom Management Guide-to-Practice: Delirium | Cancer Care Ontario | 2010 | Canada | English | Healthcare professionals providing care to patients with cancer | ADAPTE, informal consensus | Delirium | 65% |
Hogan and McCabe | National Guidelines for Seniors' Mental Health: The Assessment and Treatment of Delirium | Canadian Coalition for Seniors' Mental Health | 2006 | Canada | English | Healthcare professionals providing care to older persons | Shekelle et al. method, informal consensus, and expert opinion | Delirium | 65% |
Martin et al. | Evidence and Consensus-based German Guidelines for the Management of Analgesia, Sedation and Delirium in Intensive Care - Short Version | Association of Scientific Medical Societies of Germany | 2010 | Germany | English, German | The ICU healthcare team | Informal consensus | Delirium | 29% |
Michaud et al. | Delirium: Guidelines for General Hospitals | Delirium Guidelines Development Group | 2007 | Switzerland | English, French | Healthcare professionals | Oxford classification, RAND appropriateness method, informal consensus | Delirium | 50% |
Neufeld et al. | Antipsychotics for the Prevention and Treatment of Delirium | John Hopkins University Evidence-based Practice Center/Agency for Healthcare Research and Quality | 2019 | United States of America | English | Healthcare professionals, health system leaders and policymakers | Cochrane Risk of Bias Tool, Cochrane Risk of Bias in Non-Randomized Studies of Interventions tool | Delirium | 81% |
Potter et al. | The Prevention, Diagnosis and Management of Delirium in Older People: Concise Guidelines | Guideline Development Group convened by the British Geriatrics Society in conjunction with the Royal college of Physicians | 2006 | United Kingdom | English | Healthcare professionals and family caregivers | SIGN, AGREE, informal consensus | Delirium | 30% |
Thomson et al. | Diagnosis and Management of Delirium | Northern Care Alliance (NHS group) | 2019 | United Kingdom | English | Healthcare professionals providing care in clinical adult services | NS | Delirium | 18% |
Tropea et al. | Clinical Practice Guidelines for the Management of Delirium in Older People | Clinical Epidemiology and Health Service Evaluation Unit in collaboration with the Delirium Clinical Guidelines Expert Working Group | 2008 | Australia | English | Healthcare professionals and community care workers across Australia providing care in acute, subacute, residential and community settings | SIGN, National Health and Medical Research Council's additional levels of evidence and grades for recommendations for developers of guidelines (Pilot program 2005-2006) | Delirium | 90% |
Weldon et al. | Guidelines for the Prevention, Recognition and Management of Delirium in Adults in the Acute Hospital Setting | Luton and Dunstable University Hospital (NHS Foundation Trust) | 2015 | United Kingdom | English | Healthcare professionals providing care for patients with delirium | NS | Delirium | 9% |
White et al. | Guidelines for the Peri-operative Care of People with Dementia | Working Party established by the Association of Anaesthetists | 2019 | United Kingdom and Ireland | English | Healthcare professionals providing care in the post-surgical setting | NS | Delirium | 9% |
Young et al. | Delirium: Prevention, Diagnosis and Management | National Institute for Health and Care Excellence | 2019 | United Kingdom | English | General hospital, critical care, and long-term residential healthcare professionals and family caregivers providing care for people with or are at high risk of delirium | GRADE | Delirium | 63% |
Andersen et al. | Screening, Assessment, and Care of Anxiety and Depressive Symptoms in Adults with Cancer: An American Society of Clinical Oncology Guideline Adaptation | American Society of Clinical Oncology | 2014 | United States of America | English | Healthcare professionals and family caregivers providing care for adults with cancer | ADAPTE, informal consensus | Delirium, Depression, Anxiety | 51% |
BC Guidelines and Protocols Advisory Committee | Palliative Care for the Patient with Incurable Cancer or Advanced Disease Part 2: Pain and Symptom Management | BC Guidelines & Protocols Advisory Committee | 2017 | Canada | English | NS | NS | Delirium, Depression | 4% |
Jacobi et al. | Clinical Practice Guidelines for the Sustained Use of Sedatives and Analgesics in the Critically Ill Adult | Society of Critical Care Medicine and the American Society of Health-System Pharmacists | 2002 (update from 1994) | United States of America | English | ICU healthcare professionals | Informal grading scheme, informal consensus | Delirium, Anxiety, Post-Traumatic Stress Disorder | 50% |
McNeill et al. | Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition | Registered Nurses Association of Ontario | 2016 | Canada | English | Healthcare professionals | AMSTAR, AGREE II | Delirium, Dementia, Depression | 92% |
NICE rapid guideline development group | COVID-19 Rapid Guideline: Managing Symptoms (including at the end of life) in the Community | National Institute for Health and Care Excellence | 2020 | United Kingdom | English | Healthcare professionals | Internal accuracy check by NICE and NHS England | Delirium, Anxiety | 50% |
Trzepacz et al. | Practice Guideline for the Treatment of Patients with Delirium | American Psychiatric Association | 1999 | United States of America | English | Psychiatrists | NS | Delirium, Depression, Anxiety, Dementia | 36% |
Virani et al. | Caregiving Strategies for Older Adults with Delirium, Dementia and Depression | Registered Nurses Association of Ontario | 2004 | Canada | English | Registered nurses and registered practical nurses | AGREE, informal consensus | Delirium, Dementia, Depression | 60% |