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 the...

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Veröffentlicht in:BMC psychiatry 2021-04, Vol.21 (1), p.189-8, Article 189
Hauptverfasser: Brouwer, Jurriaan M. J. L., Olde Hengel, Erien, Risselada, Arne J., van Roon, Eric N., Mulder, Hans
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container_start_page 189
container_title BMC psychiatry
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creator Brouwer, Jurriaan M. J. L.
Olde Hengel, Erien
Risselada, Arne J.
van Roon, Eric N.
Mulder, Hans
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.
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J. L. ; Olde Hengel, Erien ; Risselada, Arne J. ; van Roon, Eric N. ; Mulder, Hans</creator><creatorcontrib>Brouwer, Jurriaan M. J. L. ; Olde Hengel, Erien ; Risselada, Arne J. ; van Roon, Eric N. ; Mulder, Hans</creatorcontrib><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.</description><identifier>ISSN: 1471-244X</identifier><identifier>EISSN: 1471-244X</identifier><identifier>DOI: 10.1186/s12888-021-03162-w</identifier><identifier>PMID: 33845804</identifier><language>eng</language><publisher>LONDON: Springer Nature</publisher><subject>Aged ; Antipsychotic ; Antipsychotic Agents - therapeutic use ; Antipsychotic drugs ; Antipsychotics ; Applicability ; Bipolar disorder ; Clinical medicine ; Clinical practice guidelines ; Databases, Factual ; Dementia ; Dosage and administration ; Drug use ; Drug utilization ; Dutch language ; Frailty ; Humans ; Life Sciences &amp; Biomedicine ; Mental disorders ; Monitoring ; Patients ; Practice guidelines (Medicine) ; Psychiatry ; Psychotropic drugs ; Schizophrenia ; Science &amp; Technology ; SIM ; Somatic</subject><ispartof>BMC psychiatry, 2021-04, Vol.21 (1), p.189-8, Article 189</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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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. 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J. L.</au><au>Olde Hengel, Erien</au><au>Risselada, Arne J.</au><au>van Roon, Eric N.</au><au>Mulder, Hans</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use</atitle><jtitle>BMC psychiatry</jtitle><stitle>BMC PSYCHIATRY</stitle><addtitle>BMC Psychiatry</addtitle><date>2021-04-12</date><risdate>2021</risdate><volume>21</volume><issue>1</issue><spage>189</spage><epage>8</epage><pages>189-8</pages><artnum>189</artnum><issn>1471-244X</issn><eissn>1471-244X</eissn><abstract>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.</abstract><cop>LONDON</cop><pub>Springer Nature</pub><pmid>33845804</pmid><doi>10.1186/s12888-021-03162-w</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9302-716X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
Antipsychotic
Antipsychotic Agents - therapeutic use
Antipsychotic drugs
Antipsychotics
Applicability
Bipolar disorder
Clinical medicine
Clinical practice guidelines
Databases, Factual
Dementia
Dosage and administration
Drug use
Drug utilization
Dutch language
Frailty
Humans
Life Sciences & Biomedicine
Mental disorders
Monitoring
Patients
Practice guidelines (Medicine)
Psychiatry
Psychotropic drugs
Schizophrenia
Science & Technology
SIM
Somatic
title Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use
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