A critical appraisal of delirium clinical practice guidelines relevant to the care of older adults in the emergency department with a synthesis of recommendations: an umbrella review protocol
Abstract Background Up to 35% of older adults present to the emergency department (ED) with delirium or develop the condition during their ED stay. Delirium associated with an ED visit is independently linked to poorer outcomes such as loss of independence, increased length of hospital stay, and mor...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | Systematic Reviews |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13643-022-02145-6 |
| _version_ | 1811203880312111104 |
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| author | Sarah Filiatreault Jeremy M. Grimshaw Sara A. Kreindler Alecs Chochinov Janice Linton Malcolm B. Doupe |
| author_facet | Sarah Filiatreault Jeremy M. Grimshaw Sara A. Kreindler Alecs Chochinov Janice Linton Malcolm B. Doupe |
| author_sort | Sarah Filiatreault |
| collection | DOAJ |
| description | Abstract Background Up to 35% of older adults present to the emergency department (ED) with delirium or develop the condition during their ED stay. Delirium associated with an ED visit is independently linked to poorer outcomes such as loss of independence, increased length of hospital stay, and mortality. Improving the quality of delirium care for older ED patients is hindered by a lack of knowledge and standards to guide best practice. High-quality clinical practice guidelines (CPGs) have the power to translate the complexity of scientific evidence into recommendations to improve and standardize practice. This study will identify and synthesize recommendations from high-quality delirium CPGs relevant to the care of older ED patients. Methods We will conduct a multi-phase umbrella review to retrieve relevant CPGs. Quality of the CPGs and their recommendations will be critically appraised using the Appraisal of Guidelines, Research, and Evaluation (AGREE)-II; and Appraisal of Guidelines Research and Evaluation – Recommendations Excellence (AGREE-REX) instruments, respectively. We will also synthesize and conduct a narrative analysis of high-quality CPG recommendations. Discussion This review will be the first known evidence synthesis of delirium CPGs including a critical appraisal and synthesis of recommendations. Recommendations will be categorized according to target population and setting as a means to define the bredth of knowledge in this area. Future research will use consensus building methods to identify which are most relevant to older ED patients. Trial registration This study has been registered in the Open Science Framework registries: https://doi.org/10.17605/OSF.IO/TG7S6 . |
| first_indexed | 2024-04-12T03:02:26Z |
| format | Article |
| id | doaj.art-07974363c1404d9085448b56d8ca2584 |
| institution | Directory Open Access Journal |
| issn | 2046-4053 |
| language | English |
| last_indexed | 2024-04-12T03:02:26Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Systematic Reviews |
| spelling | doaj.art-07974363c1404d9085448b56d8ca25842022-12-22T03:50:36ZengBMCSystematic Reviews2046-40532022-12-011111810.1186/s13643-022-02145-6A critical appraisal of delirium clinical practice guidelines relevant to the care of older adults in the emergency department with a synthesis of recommendations: an umbrella review protocolSarah Filiatreault0Jeremy M. Grimshaw1Sara A. Kreindler2Alecs Chochinov3Janice Linton4Malcolm B. Doupe5Department of Community Health Sciences, Rady Faculty of Health Sciences, University of ManitobaDepartment of Community Health Sciences, Rady Faculty of Health Sciences, University of ManitobaDepartment of Community Health Sciences, Rady Faculty of Health Sciences, University of ManitobaDepartment of Community Health Sciences, Rady Faculty of Health Sciences, University of ManitobaNeil John Maclean Health Sciences Library, University of ManitobaDepartment of Community Health Sciences, Rady Faculty of Health Sciences, University of ManitobaAbstract Background Up to 35% of older adults present to the emergency department (ED) with delirium or develop the condition during their ED stay. Delirium associated with an ED visit is independently linked to poorer outcomes such as loss of independence, increased length of hospital stay, and mortality. Improving the quality of delirium care for older ED patients is hindered by a lack of knowledge and standards to guide best practice. High-quality clinical practice guidelines (CPGs) have the power to translate the complexity of scientific evidence into recommendations to improve and standardize practice. This study will identify and synthesize recommendations from high-quality delirium CPGs relevant to the care of older ED patients. Methods We will conduct a multi-phase umbrella review to retrieve relevant CPGs. Quality of the CPGs and their recommendations will be critically appraised using the Appraisal of Guidelines, Research, and Evaluation (AGREE)-II; and Appraisal of Guidelines Research and Evaluation – Recommendations Excellence (AGREE-REX) instruments, respectively. We will also synthesize and conduct a narrative analysis of high-quality CPG recommendations. Discussion This review will be the first known evidence synthesis of delirium CPGs including a critical appraisal and synthesis of recommendations. Recommendations will be categorized according to target population and setting as a means to define the bredth of knowledge in this area. Future research will use consensus building methods to identify which are most relevant to older ED patients. Trial registration This study has been registered in the Open Science Framework registries: https://doi.org/10.17605/OSF.IO/TG7S6 .https://doi.org/10.1186/s13643-022-02145-6Umbrella reviewEvidence synthesisPractice guidelineEmergency services (hospital)DeliriumOlder adults |
| spellingShingle | Sarah Filiatreault Jeremy M. Grimshaw Sara A. Kreindler Alecs Chochinov Janice Linton Malcolm B. Doupe A critical appraisal of delirium clinical practice guidelines relevant to the care of older adults in the emergency department with a synthesis of recommendations: an umbrella review protocol Systematic Reviews Umbrella review Evidence synthesis Practice guideline Emergency services (hospital) Delirium Older adults |
| title | A critical appraisal of delirium clinical practice guidelines relevant to the care of older adults in the emergency department with a synthesis of recommendations: an umbrella review protocol |
| title_full | A critical appraisal of delirium clinical practice guidelines relevant to the care of older adults in the emergency department with a synthesis of recommendations: an umbrella review protocol |
| title_fullStr | A critical appraisal of delirium clinical practice guidelines relevant to the care of older adults in the emergency department with a synthesis of recommendations: an umbrella review protocol |
| title_full_unstemmed | A critical appraisal of delirium clinical practice guidelines relevant to the care of older adults in the emergency department with a synthesis of recommendations: an umbrella review protocol |
| title_short | A critical appraisal of delirium clinical practice guidelines relevant to the care of older adults in the emergency department with a synthesis of recommendations: an umbrella review protocol |
| title_sort | critical appraisal of delirium clinical practice guidelines relevant to the care of older adults in the emergency department with a synthesis of recommendations an umbrella review protocol |
| topic | Umbrella review Evidence synthesis Practice guideline Emergency services (hospital) Delirium Older adults |
| url | https://doi.org/10.1186/s13643-022-02145-6 |
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