AGREE II initial ‘rigour’ domain scores for delirium clinical practice guidelines (published 2008–2013)
| Clinical practice guideline name | Guideline development group | Year of publication | Country/language | Database source | Target patient population | Initial Rigour domain score |
|---|---|---|---|---|---|---|
| Delirium: diagnosis, prevention | National Clinical Guideline Centre (NCGC): Commissioned by National Institute for Health and Care Excellence (NICE) | 2010 | England: English | Grey literature, TRIP; Guideline summary (NGC): TRIP | Adult patients ≥18 years in a hospital setting and long-term residential care | 91% |
| and management. Clinical Guideline 103 (CG103)38 | ||||||
| Clinical practice guidelines for the management of pain, agitation and delirium in adult patients in the intensive care unit45 | The American College of | 2013 | USA: English | Medline, EMBASE, CINAHL; Guideline summary (NGC): TRIP | Intubated and non-intubated adult medical, surgical and trauma intensive care unit patients | 58% |
| Critical Care Medicine task force | ||||||
| Caregiving strategies for older adults with delirium, dementia and depression46 | Registered Nurses Association of Ontario (RNAO) | 2010 update (Original: 2004) | Canada: English | Grey literature, TRIP; Guideline summary (NGC): TRIP | Older adults ≥65 years with delirium, dementia and/or depression | 55% |
| Guideline on the assessment and treatment of delirium in older adults at the end of life47 | Canadian Coalition for Seniors' Mental Health (CCSMH) | 2010 | Canada: English | Grey literature | Older adults ≥65 years with or at risk of developing delirium and approaching the end of life | 54% |
| Screening for delirium, dementia and depression in older adults48 | Registered Nurses Association of Ontario (RNAO) | 2010 update (Original: 2003) | Canada: English | Grey literature, TRIP; Guideline summary (NGC): TRIP | Older adult clients | 48% |
| Cancer Care Ontario's Symptom management guide-to-practice: Delirium49 | Cancer Care Ontario (CCO) | 2010 | Canada: English | Grey literature | Adult patients who require symptom management related to cancer | 43% |
| Acute Confusion/Delirium50 | Sendelbach S, Finch Guthrie P. (University of Iowa College of Nursing) | 2009 | USA: English | Hand search; Guideline summary (NGC): TRIP | Elderly hospitalised patients (general medical/surgical units) | 42% |
| Evidence and consensus-based German guidelines for the management of analgesia, sedation and delirium in intensive care51 | Association of Scientific Medical Societies (AWMF) of Germany | 2010 | Germany: English (Original version)/German | Medline | Critically ill patients | 21% |
| Palliative Care. NCCN Guidelines52 | National Comprehensive Cancer Network (NCCN) | 2013 | USA: English | Grey literature | Adult cancer patients | 9% |
| Clinical guideline: The prevention, recognition and management of delirium in adult inpatients53 | Guy's and St. Thomas’ NHS Foundation Trust | 2013 | England: English | Hand search | Hospitalised adult patients | 9% |
| British Columbia guidelines: Palliative care for the patient with incurable cancer or advanced disease. Part 2: Pain and symptom management. Delirium management54 | Family Practice Oncology Network and the Guidelines and Protocols Advisory Committee | 2011 | Canada: English | Grey literature; Guideline summary (NGC): TRIP | Patients with cancer or advanced disease | 3% |
NGC, National Guideline Clearinghouse; TRIP, Turning Research into Practice.