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Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use

BACKGROUND: Clinical practice guidelines (CPGs) recommend the monitoring of somatic parameters in patients treated with antipsychotic drugs in order to detect adverse effects. The objective of this study was to assess, in adult and (frail) elderly populations, the consistency and applicability of th...

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Autores principales: Brouwer, Jurriaan M. J. L., Olde Hengel, Erien, Risselada, Arne J., van Roon, Eric N., Mulder, Hans
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8042861/
https://www.ncbi.nlm.nih.gov/pubmed/33845804
http://dx.doi.org/10.1186/s12888-021-03162-w
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author Brouwer, Jurriaan M. J. L.
Olde Hengel, Erien
Risselada, Arne J.
van Roon, Eric N.
Mulder, Hans
author_facet Brouwer, Jurriaan M. J. L.
Olde Hengel, Erien
Risselada, Arne J.
van Roon, Eric N.
Mulder, Hans
author_sort Brouwer, Jurriaan M. J. L.
collection PubMed
description BACKGROUND: Clinical practice guidelines (CPGs) recommend the monitoring of somatic parameters in patients treated with antipsychotic drugs in order to detect adverse effects. The objective of this study was to assess, in adult and (frail) elderly populations, the consistency and applicability of the somatic monitoring instructions recommended by established CPGs prior to and during antipsychotic drug use. METHODS: A search for national and international CPGs was performed by querying the electronic database PubMed and Google. Somatic monitoring instructions were assessed for adult and (frail) elderly populations separately. The applicability of somatic monitoring instructions was assessed using the Systematic Information for Monitoring (SIM) score. Somatic monitoring instructions were considered applicable when a minimum SIM score of 3 was reached. RESULTS: In total, 16 CPGs were included, with a total of 231 somatic monitoring instructions (mean: 14; range: 0–47). Of the somatic monitoring instructions, 87% were considered applicable, although critical values and how to respond to aberrant values were only present in 28 and 52% of the available instructions respectively. Only 1 CPG presented an instruction specifically for (frail) elderly populations. CONCLUSIONS: We emphasize the need for a guideline with somatic monitoring instructions based on the SIM definition for both adult and (frail) elderly populations using antipsychotic drugs. In addition, CPGs should state that clear agreements should be made regarding who is responsible for interventions and somatic monitoring prior to and during antipsychotic drug use. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-021-03162-w.
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spelling pubmed-80428612021-04-14 Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use Brouwer, Jurriaan M. J. L. Olde Hengel, Erien Risselada, Arne J. van Roon, Eric N. Mulder, Hans BMC Psychiatry Research Article BACKGROUND: Clinical practice guidelines (CPGs) recommend the monitoring of somatic parameters in patients treated with antipsychotic drugs in order to detect adverse effects. The objective of this study was to assess, in adult and (frail) elderly populations, the consistency and applicability of the somatic monitoring instructions recommended by established CPGs prior to and during antipsychotic drug use. METHODS: A search for national and international CPGs was performed by querying the electronic database PubMed and Google. Somatic monitoring instructions were assessed for adult and (frail) elderly populations separately. The applicability of somatic monitoring instructions was assessed using the Systematic Information for Monitoring (SIM) score. Somatic monitoring instructions were considered applicable when a minimum SIM score of 3 was reached. RESULTS: In total, 16 CPGs were included, with a total of 231 somatic monitoring instructions (mean: 14; range: 0–47). Of the somatic monitoring instructions, 87% were considered applicable, although critical values and how to respond to aberrant values were only present in 28 and 52% of the available instructions respectively. Only 1 CPG presented an instruction specifically for (frail) elderly populations. CONCLUSIONS: We emphasize the need for a guideline with somatic monitoring instructions based on the SIM definition for both adult and (frail) elderly populations using antipsychotic drugs. In addition, CPGs should state that clear agreements should be made regarding who is responsible for interventions and somatic monitoring prior to and during antipsychotic drug use. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-021-03162-w. BioMed Central 2021-04-12 /pmc/articles/PMC8042861/ /pubmed/33845804 http://dx.doi.org/10.1186/s12888-021-03162-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Brouwer, Jurriaan M. J. L.
Olde Hengel, Erien
Risselada, Arne J.
van Roon, Eric N.
Mulder, Hans
Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use
title Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use
title_full Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use
title_fullStr Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use
title_full_unstemmed Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use
title_short Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use
title_sort applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8042861/
https://www.ncbi.nlm.nih.gov/pubmed/33845804
http://dx.doi.org/10.1186/s12888-021-03162-w
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