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. 2021 Dec 17;2021(12):CD013304. doi: 10.1002/14651858.CD013304.pub2

Auchus 1997.

Study characteristics
Methods Study design: randomised controlled trial
Study grouping: parallel group
Study duration: 6 weeks
Rescue medication: no information provided
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
Interventions Intervention characteristics
Haloperidol
  • dosage: fixed 3 mg daily


Placebo
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)
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in each group completed a 2‐week washout period during which any current psychotropic medications were carefully withdrawn.