Table 2 AGREE II domain percentages for guidelines containing recommendations for delirium or psychiatric disorders in delirium
Author | Guideline name | Domain 1: scope and purpose (3 items) | Domain 2: stakeholder involvement (3 items) | Domain 3: rigour of development (8 items) | Domain 4: clarity of presentation (3 items) | Domain 5: applicability (4 items) | Domain 6: editorial independence (2 items) | Overall score (average)a | Overall recommendation for use |
|---|---|---|---|---|---|---|---|---|---|
Delirium Only | |||||||||
 Allard et al. | Guideline on the Assessment and Treatment of Delirium in Older Adults at the End of Life | 78% | 53% | 64% | 81% | 31% | 38% | 4.5 | Yes, with modification |
 American Geriatrics Society | American Geriatrics Society Abstracted Clinical Practice Guideline for Postoperative Delirium in Older Adults | 83% | 58% | 66% | 83% | 27% | 79% | 5 | Yes, with modification |
 Brajtman et al. | Developing Guidelines on the Assessment and Treatment of Delirium in Older Adults at the End of Life | 64% | 42% | 40% | 67% | 4% | 67% | 4 | Yes, with modification |
 Bush et al. | Delirium in adult cancer patients: ESMO Clinical Practice Guidelines | 58% | 53% | 51% | 81% | 29% | 42% | 4.5 | Yes, with modification |
 Dans et al. | NCCN Guidelines Palliative Care, Version 2.2017 | 61% | 42% | 9% | 47% | 13% | 63% | 2 | No |
 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 | 61% | 81% | 61% | 67% | 60% | 75% | 6.5 | Yes |
 ACR Expert Panel | ACR Appropriateness Criteria Acute Mental Status Change, Delirium, and New Onset Psychosis | 56% | 47% | 23% | 83% | 6% | 42% | 3.5 | Yes, with modification |
 Fraser Health | Delirium/Restlessness Symptom Guidelines | 89% | 14% | 23% | 75% | 17% | 4% | 4 | Yes, with modification |
 Grover and Avasthi | Clinical Practice Guidelines for Management of Delirium in Elderly | 44% | 14% | 9% | 47% | 15% | 4% | 2 | No |
 Harle et al. | Cancer Care Ontario's Symptom Management Guide-to-Practice: Delirium | 72% | 47% | 65% | 81% | 42% | 25% | 4 | Yes, with modification |
 Hogan and McCabe | National Guidelines for Seniors' Mental Health: The Assessment and Treatment of Delirium | 86% | 92% | 65% | 86% | 42% | 46% | 5.5 | Yes, with modification |
 Martin et al. | Evidence and Consensus-based German Guidelines for the Management of Analgesia, Sedation and Delirium in Intensive Care - Short Version | 67% | 36% | 29% | 67% | 50% | 63% | 3.5 | Yes, with modification |
 Michaud et al. | Delirium: Guidelines for General Hospitals | 44% | 47% | 50% | 56% | 31% | 4% | 5 | Yes, with modification |
 Neufeld et al. | Antipsychotics for the Prevention and Treatment of Delirium | 94% | 86% | 81% | 92% | 44% | 63% | 6 | Yes, with modification |
 Potter et al. | The Prevention, Diagnosis and Management of Delirium in Older People: Concise Guidelines | 56% | 64% | 30% | 58% | 33% | 42% | 3.5 | Yes, with modification |
 Thomson et al. | Diagnosis and Management of Delirium | 67% | 42% | 18% | 72% | 35% | 4% | 4 | Yes, with modification |
 Tropea et al. | Clinical Practice Guidelines for the Management of Delirium in Older People | 94% | 69% | 90% | 92% | 10% | 63% | 6.5 | Yes, with modification |
 Weldon et al. | Guidelines for the Prevention, Recognition and Management of Delirium in Adults in the Acute Hospital Setting | 61% | 31% | 9% | 78% | 42% | 4% | 3.5 | No |
 White et al. | Guidelines for the Peri-operative Care of People with Dementia | 44% | 42% | 9% | 61% | 23% | 17% | 2 | No |
 Young et al. | Delirium: Prevention, Diagnosis and Management | 100% | 53% | 63% | 100% | 77% | 79% | 6 | Yes |
Anxiety, depression, or post-traumatic stress disorder in delirium | |||||||||
 Andersen et al. | Screening, Assessment, and Care of Anxiety and Depressive Symptoms in Adults with Cancer: An American Society of Clinical Oncology Guideline Adaptation | 94% | 75% | 51% | 89% | 46% | 83% | 6 | Yes |
 BC Guidelines & Protocols Advisory Committee | Palliative Care for the Patient with Incurable Cancer or Advanced Disease Part 2: Pain and Symptom Management | 83% | 14% | 4% | 75% | 52% | 4% | 3 | Yes, with modification |
 Jacobi et al. | Clinical Practice Guidelines for the Sustained Use of Sedatives and Analgesics in the Critically Ill Adult | 81% | 47% | 50% | 92% | 52% | 4% | 5.5 | Yes, with modification |
 McNeill et al. | Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition | 92% | 92% | 92% | 92% | 71% | 92% | 6 | Yes |
 NICE rapid guideline development group | COVID-19 Rapid Guideline: Managing Symptoms (including at the end of life) in the Community | 67% | 36% | 50% | 86% | 29% | 4% | 4.5 | Yes |
 Trzepacz et al. | Practice Guideline for the Treatment of Patients with Delirium | 44% | 31% | 36% | 69% | 27% | 29% | 3.5 | Yes, with modification |
 Virani et al. | Caregiving Strategies for Older Adults with Delirium, Dementia and Depression | 89% | 64% | 60% | 89% | 56% | 21% | 5.5 | Yes, with modification |
Domain Mean | 72% | 51% | 44% | 76% | 36% | 39% | Â | ||
Domain Mode | 44% | 47% | 9% | 92% | 42% | 4% | Â | ||
Domain Range | 44–100% | 14–92% | 4–92% | 47–100% | 4–77% | 4–92% |  | ||