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Cochrane Database of Systematic Reviews

Haloperidol para la agitación en la demencia

Información

DOI:
https://doi.org/10.1002/14651858.CD002852Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 22 abril 2002see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Demencia y trastornos cognitivos

Copyright:
  1. Copyright © 2012 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Autores

  • Edmund Lonergan

    Correspondencia a: Emeryville, USA

    [email protected]

  • Jay Luxenberg

    San Francisco, USA

  • John M Colford

    Epidemiology, University of California at Berkeley, Berkeley, USA

  • Jacqueline Birks

    Centre for Statistics in Medicine, University of Oxford, Oxford, UK

Contributions of authors

‐E. Lonergan: drafting of review versions; all correspondence; selection of trials; extraction of data; entry of data; interpretation of data analyses; updating review
‐J. Luxenberg: drafting of review versions; selection of trials; extraction of data; interpretation of data analyses
‐J. Colford: Statistical consultation; arbiter in selection of trials; interpretation of data analysis
‐A. Ludvik: Literature searches; lay reviewer; preparation of lay reports

‐This review has been peer reviewed.

Sources of support

Internal sources

  • VA Medical Center, San Francisco, USA.

  • Division of Clinical Geratology, Nuffield Department of Clinical Medicine, University of Oxford, UK.

External sources

  • National Health Service, Research and Development, UK.

Declarations of interest

None known

Acknowledgements

1. To Peter Smith for early editorial assistance and guidance.
2. To Jacqueline Birks for editorial evaluation, statistical review, construction of analyses, and for helpful suggestions concerning methodology and style.
3. To Dymphna Hermans and Vittoria Lutje for invaluable assistance in performing the search of electronic databases.

Version history

Published

Title

Stage

Authors

Version

2002 Apr 22

Haloperidol for agitation in dementia

Review

Edmund Lonergan, Jay Luxenberg, John M Colford, Jacqueline Birks

https://doi.org/10.1002/14651858.CD002852

Notes

17/07/03: An updated literature search revealed no new randomized controlled trials since the last review, and no new evidence to alter the results and recommendations of our report of 2002. A new article (Pelton 2003) described plasma haloperidol levels of an earlier RCT (Devanand 1998), finding that haloperidol plasma levels of ‐> 1.5 ng/ml, but not doses of haloperidol (range, 0.5 mg/d ‐ 3.0 mg/d), correlated with improvement in agitation as measured by Brief Psychiatric Rating Scale total scores (P < 0.01), and that higher haloperidol plasma levels were also associated with increased frequency of extrapyramidal side effects. Because the findings were derived from a post‐hoc analysis of Devanand's 1998 study, and did not include comparison with BPRS changes among control subjects they must be interpreted cautiously. Nevertheless, the new study represents an effort to establish a more direct link between haloperidol therapy of demented patients with agitation, and patient response (improvement and side effects) to therapy.

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.