Quality of clinical practice guidelines in delirium: A systematic appraisal
2017
Online
Elektronische Ressource
Objective: To determine the accessibility and currency of delirium guidelines, guideline summary papers and evaluation studies, and critically appraise guideline quality. Design: 1. Systematic literature search for formal guidelines (in English or French) with focus on delirium assessment and/or management in adults (=18 years), guideline summary papers and evaluation studies. 2. Full appraisal of delirium guidelines published between 2008 and 2013 and obtaining a 'Rigour of Development' domain screening score cutoff of >40% using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. Data sources: Multiple bibliographic databases, guideline organisation databases, complemented by a grey literature search. Results: 3327 database citations and 83 grey literature links were identified. A total of 118 retrieved delirium guidelines and related documents underwent full-text screening. A final 21 delirium guidelines (with 10 being >5 years old), 12 guideline summary papers and 3 evaluation studies were included. For 11 delirium guidelines published between 2008 and 2013, the screening AGREE II 'Rigour' scores ranged from 3% to 91%, with seven meeting the cut-off score of >40%. Overall, the highest rating AGREE II domains were 'Scope and Purpose' (mean 80.1%, range 64-100%) and 'Clarity and Presentation' (mean 76.7%, range 38- 97%). The lowest rating domains were 'Applicability' (mean 48.7%, range 8-81%) and 'Editorial Independence' (mean 53%, range 2-90%). The three highest rating guidelines in the 'Applicability' domain incorporated monitoring criteria or audit and costing templates, and/or implementation strategies. Conclusions: Delirium guidelines are best sourced by a systematic grey literature search. Delirium guideline quality varied across all six AGREE II domains, demonstrating the importance of using a formal appraisal tool prior to guideline adaptation and implementation into clinical settings. Adding more knowledge translation resources
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Quality of clinical practice guidelines in delirium: A systematic appraisal
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Veröffentlichung: | 2017 |
Medientyp: | Elektronische Ressource |
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