Article Text

other Versions

PDF
Randomised controlled trial
Placebo might be superior to antipsychotics in management of delirium in the palliative care setting
  1. Soenke Boettger,
  2. Josef Jenewein
  1. University Hospital Zurich, Zurich, Switzerland
  1. Correspondence to Dr Soenke Boettger, University Hospital Zurich, Ramistrasse 100, 8091 Zurich, Switzerland; soenke.boettger{at}usz.ch

Statistics from Altmetric.com

Commentary on: Agar MR, Lawlor PG, Quinn S, et al. Efficacy of oral risperidone, haloperidol, or placebo for symptoms of delirium among patients in palliative care: a randomized clinical trial. JAMA Intern Med 2017;177:34–42.

Context

The need for controlled trials evaluating the efficacy of antipsychotics in the management of delirium has been recognised since the Practice Guidelines for the treatment of patients with delirium were introduced in 1999.1 Since then, only few relevant studies have been published. In contrast to the Practice Guidelines, which favoured psychopharmacological management, the National Institute for Health and Care Excellence Guidelines solely recommend psychopharmacological management for distress.2 To date, it has not yet been clearly defined what the distressing symptoms of delirium are. Considering this controversy and the necessity of further studies in this domain, the most beneficial approach for delirious patients remains unclear.3 4

Methods

In this multicentre, randomised clinical trial in the palliative care …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.