Rapid Tranquillisation: An AGREEable Ground?
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Rapid Tranquillisation： An AGREEable Ground？ Pallavi Nadkarni;Mahesh Jayaram;Shailesh Nadkarni;Ranga Rattehalli;Clive Adams 【期刊名称】《精神病学期刊（英文）》 【年(卷),期】2014(4)3 【摘 要】Objective: Evidence base for rapid tranquillisation is an under researched area. Guidelines on rapid tranquilisation from English speaking countries were appraised using AGREE (Appraisal of Guidelines Research and Evaluation) and differences in their recommendations were analysed. Methods: Four independent psychiatrists appraised the guidelines using the AGREE tool. AGREE is a validated instrument used to assess the quality of guideline and recommendations using six domains of which each domain captures a specific aspect of the guideline development. The content was analysed manually. Results: Seven guidelines from five English speaking countries met the inclusion criteria. All the guidelines scored well on the domain of “scope and purpose”. NICE guidelines from the UK consistently scored well on all domains with the maximum possible score of 100 on the “applicability” domain. APA from the USA did well on the domain of “editorial independence”. AGREE could only examine the guideline development process and not the content. The guidelines differed in their recommendations of choice of drug for rapid tranquillisation. Discussion: All guidelines scored reasonably well on AGREE. National Institute of Clinical Excellence (NICE) has used robust strategies in developing the guidelines. Guidelines failed to achieve consensus in recommendations despite using a common pool of evidence. Haloperidol-promethazine combination is not recommended by any with the exception of NICE. This suggests data is selectively interpreted depending on locally prevalent customs. 【总页数】6页(P269-274) 【关键词】Tranquillisation;Guidelines;Anti-Psychotics;Psychiatric;Emergencies 【作 者】Pallavi Nadkarni;Mahesh Jayaram;Shailesh Nadkarni;Ranga Rattehalli;Clive Adams 【作者单位】Department of Psychiatry, Queen’s University, Kingston, Canada;Department of Psychiatry, The University of Melbourne, Level 1 North, Main Block, Royal Melbourne Hospital VIC 3050 Australia;National Research Corporation Canada, Markham, Canada;Newsam Centre, Seacroft Hospital, Leeds, UK;The University of Nottingham, Jubliee Campus, Nottingham, UK 【正文语种】中 文 【中图分类】R73 【相关文献】 1.Regrettable but Agreeable-Comments on A Village Celebration [J], 张文静 2.Assessment of rapid impact compaction in ground improvement from in-situ testing [J], M.M.Mohammed;H.Roslan;S.Firas 3.Assessment of rapid impact compaction in ground improvement from in-situ testing [J], M. M. Mohammed;H. Roslan, S. Firas;;;;;;;;;;;;; 4.Regrettable but Agreeable-Comments on A Village Celebration [J], 张文静 因版权原因，仅展示原文概要，查看原文内容请购买 本文来源：https://www.wddqw.com/doc/fca6d8a27f1cfad6195f312b3169a4517723e5f2.html