Auchus 1997.
Study characteristics | ||
Methods |
Study design: randomised controlled trial Study grouping: parallel group Study duration: 6 weeks Rescue medication: no information provided |
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Participants |
Number randomised: 12 (6 haloperidol 6 placebo) Mean age: 75.6 years Sex (female): 66% Type of dementia: Alzheimer's disease Severity of dementia: moderate Indication: Agitation (baseline CMAI 35.9) Setting: community‐dwelling Country: USA |
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Interventions |
Intervention characteristics Haloperidol
Placebo |
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Outcomes | Agitation: Cohen‐Mansfield Agitation Inventory (CMAI) Death Discontinuation due to adverse events Discontinuation (any reason) Carer burden or carer quality of life: Caregiver Strain Index (CSI) |
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Identification | ||
Notes | Sponsorship source: Grant from Emory University Research Council (226‐93) and Grant Alzheimer’s Disease Core Center from the National Institute on Aging (P3OAG1O13O) | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not reported |
Allocation concealment (selection bias) | Unclear risk | Insufficient information |
Comparability of groups (selection bias) | Unclear risk | Baseline characteristics are not presented per group for all randomized. Baseline outcome score differ greatly but direction of bias unclear. Unclear whether the difference has been adjusted for. |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | "double blind", but it is not described if haloperidol and placebo tablets did look the same and no other actions to secure blinding of personnel and participants are described. Patients probably blinded but unclear if blinding of personnel was performed. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Insufficient information |
Incomplete outcome data (attrition bias) All outcomes | High risk | High rate of drop‐out: 2/6 haloperidol (33%) and 1/6 (17%) placebo treated patients drop‐out. |
Selective reporting (reporting bias) | Low risk | All outcomes reported in methods section are reported in the results section. |
Other bias | High risk | Subjects in each group completed a 2‐week washout period during which any current psychotropic medications were carefully withdrawn. |