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Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.
1,049 questions in 79 reviews · Dementia and Cognitive Improvement
current versionsNo studies 240 · 22.9%Ungraded 31 · 3%Very low 216 · 20.6%Low 253 · 24.1%Moderate 238 · 22.7%High 71 · 6.8%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Summary of findings ‐ Atypical antipsychotics vs placebo Death ‐ 5032 persons in 17 RCTs of 3 to 12 weeks ___________________________________________ Antipsychotics for agitation and psychosis in people with Alzheimer's disease and vascular dementia (2021) · Cochrane | no estimate extracted | NR | Moderate |
Summary of findings ‐ Typical antipsychotics vs placebo Response for agitation ‐ as defined by authors of RCTs ‐ 367 persons in 4 RCTs of 3 to 16 weeks Antipsychotics for agitation and psychosis in people with Alzheimer's disease and vascular dementia (2021) · Cochrane | no estimate extracted | NR | Moderate |
Summary of findings ‐ Typical antipsychotics vs placebo Psychosis ‐ presented in units of NPI‐NH P (higher is worse)f ‐ 240 persons in 2 RCTs of 6 to 10 weeks Antipsychotics for agitation and psychosis in people with Alzheimer's disease and vascular dementia (2021) · Cochrane | no estimate extracted | NR | Low |
Summary of findings ‐ Typical antipsychotics vs placebo Response for psychosis ‐ as defined by authors of RCTs ‐ 259 persons in 2 RCTs of 6 to 10 weeks Antipsychotics for agitation and psychosis in people with Alzheimer's disease and vascular dementia (2021) · Cochrane | no estimate extracted | NR | Low |
Summary of findings ‐ Typical antipsychotics vs placebo Extrapyramidal symptoms ‐ Antipsychotics for agitation and psychosis in people with Alzheimer's disease and vascular dementia (2021) · Cochrane | no estimate extracted | NR | High |
Summary of findings ‐ Typical antipsychotics vs placebo Somnolence ‐ Antipsychotics for agitation and psychosis in people with Alzheimer's disease and vascular dementia (2021) · Cochrane | no estimate extracted | NR | Moderate |
Summary of findings ‐ Typical antipsychotics vs placebo Death ‐ 578 persons in 6 RCTs of 3 to 16 weeks _________________________________________ Antipsychotics for agitation and psychosis in people with Alzheimer's disease and vascular dementia (2021) · Cochrane | no estimate extracted | NR | Low |
Summary of findings ‐ Atypical antipsychotics vs placebo Agitation ‐ presented in units on CMAI (higher is worse)a ‐ 1971 persons in 9 RCTs of 3 to 12 weeks Antipsychotics for agitation and psychosis in people with Alzheimer's disease and vascular dementia (2021) · Cochrane | no estimate extracted | NR | Moderate |
Summary of findings ‐ Atypical antipsychotics vs placebo Response for agitation ‐ as defined by authors of RCTs ‐ 1303 persons in 4 RCTs of 3 to 12 weeks Antipsychotics for agitation and psychosis in people with Alzheimer's disease and vascular dementia (2021) · Cochrane | no estimate extracted | NR | Moderate |
Donepezil 5 mg vs placebo Cognitive function: ADAS‐Cog at 24 weeksScale from: 0 to 70 · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | no estimate extracted | 3 studies · 1601 participants | High |
Donepezil 10 mg vs placebo Serious adverse events (excluding death) at 24 weeks · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | OR 1.15 [0.81, 1.64] | 2 studies · 813 participants | Moderate |
Rivastigmine vs placebo Cognitive function: ADAS‐Cog at 24 to 26 weeksScale from: 0 to 70 · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | no estimate extracted | 2 studies · 748 participants | Low |
Rivastigmine vs placebo Functional performance and activities of daily living at 24 to 26 weeks: ADCS‐ADL and IADL scales · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | no estimate extracted | 3 studies · 800 participants | Low |
Rivastigmine vs placebo Adverse events (all adverse events) at 24 to 26 weeks · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | OR 3.21 [0.36, 28.88] | 3 studies · 831 participants | Very low |
Rivastigmine vs placebo Serious adverse events (excluding death) at 24 to 26 weeks · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | OR 1.42 [0.9, 2.25] | 2 studies · 622 participants | Low |
Galantamine vs placebo Cognitive function: ADAS‐Cog at 26 weeks Scale from: 0 to 70 · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | no estimate extracted | 2 studies · 1188 participants | Moderate |
Galantamine vs placebo Clinical global impression: CIBIC‐Plus (Improvement) at 26 weeks · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | OR 1.32 [1.03, 1.7] | 2 studies · 1326 participants | High |
Galantamine vs placebo Functional performance and activities of daily living at 26 weeks ADCS‐ADL and DAD · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | no estimate extracted | 2 studies · 1174 participants | Low |
Galantamine vs placebo Adverse events (all adverse events) at 26 weeks · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | OR 1.57 [1.02, 2.43] | 2 studies · 1378 participants | Moderate |
Galantamine vs placebo Serious adverse events (excluding deaths) at 26 weeks · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | OR 1.12 [0.78, 1.59] | 1 study · 786 participants | Moderate |
Donepezil 5 mg vs placebo Clinical global impression: CIBIC‐Plus (Improvement) at 24 weeks 7‐point Likert scale · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | OR 1.58 [1.1, 2.27] | 2 studies · 712 participants | High |
Donepezil 5 mg vs placebo Functional performance and activities of daily living: ADFACS at 24 weeks 16‐item score ranging from 0 to 54 · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | no estimate extracted | 2 studies · 798 participants | Moderate |
Donepezil 5 mg vs placebo Adverse events (all reported adverse events grouped) at 24 weeks · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | OR 1.22 [0.94, 1.58] | 3 studies · 1772 participants | Moderate |
Donepezil 5 mg vs placebo Serious adverse events (excluding death) at 24 weeks · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | OR 0.94 [0.72, 1.22] | 3 studies · 1772 participants | Moderate |
Donepezil 10 mg vs placebo Cognitive function: ADAS‐Cog at 24 weeksScale from: 0 to 70 · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | no estimate extracted | 2 studies · 608 participants | Moderate |
Donepezil 10 mg vs placebo Clinical global impression: CIBIC‐Plus (Improvement) at 24 weeks 7‐point Likert scale · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | OR 1.15 [0.78, 1.7] | 2 studies · 699 participants | Moderate |
Donepezil 10 mg vs placebo Functional performance and activities of daily living: ADFACS at 24 weeks 16‐item score ranging from 0 to 54 · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | no estimate extracted | 2 studies · 813 participants | Moderate |
Donepezil 10 mg vs placebo Adverse events (all adverse events) at 24 weeks · vascular dementia and other vascular cognitive impairments Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: a network… (2021) · Cochrane | OR 1.95 [1.2, 3.15] | 2 studies · 813 participants | High |
Intervention NR Outcomes No of participants (studies) Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients (2021) · Cochrane | no estimate extracted | NR | No studies |
Intervention NR Incidence of delirium during hospital admission validated diagnostic instruments1 3693 participants (14 studies) Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients (2021) · Cochrane | RR 0.57 [0.46, 0.71] | 1 study · 14 participants | Moderate |
Intervention NR Inpatient mortality 2640 participants (10 studies) Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients (2021) · Cochrane | RR 1.17 [0.79, 1.74] | 10 studies · 2640 participants | Low |
Intervention NR New diagnosis of dementia (at any time point after randomisation) Not measured Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients (2021) · Cochrane | no estimate extracted | NR | No studies |
Intervention NR Duration of delirium (days) (any time during hospital admission) Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients (2021) · Cochrane | no estimate extracted | 6 studies · 351 participants | Low |
Intervention NR Delirium severity (any time during hospital admission) validated diagnostic instruments6 147 participants (5 studies) Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients (2021) · Cochrane | no estimate extracted | 5 studies · 6 participants | Very low |
Intervention NR Length of hospital admission (days) Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients (2021) · Cochrane | no estimate extracted | 10 studies · 3351 participants | Low |
Intervention NR Discharge from hospital to new long‐term care placement 536 participants (1 study) Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients (2021) · Cochrane | RR 0.77 [0.55, 1.07] | 1 study · 536 participants | Low |
PEG vs no enteral tube feeding Survival timea · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | 4 studies · 36816 participants | Low |
Nasogastric tubes vs no enteral tube feeding Pressure ulcers · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | NR | No studies |
Nasogastric tubes vs no enteral tube feeding Pain and comfort · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | NR | No studies |
Nasogastric tubes vs no enteral tube feeding Improvement of nutritional parameters (nutrition)d · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | 1 study · 67 participants | Very low |
Intervention NR Survival timea · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | 4 studies · 1696 participants | Very low |
Intervention NR Mortalityd · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | 2 studies · 234 participants | Very low |
Intervention NR Quality of Life · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | NR | No studies |
Intervention NR Pressure ulcersf · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | 3 studies · 351 participants | Very low |
Intervention NR Pain and comforth No · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | 1 study · 117 participants | Very low |
Intervention NR Improvement of nutritional parameters (Nutrition)j · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | 1 study · 167 participants | Very low |
PEG vs no enteral tube feeding Mortalityc · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | 2 studies · 6445 participants | Very low |
PEG vs no enteral tube feeding Quality of life · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | NR | No studies |
PEG vs no enteral tube feeding Pressure ulcerse · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | 1 study · 4421 participants | Moderate |
PEG vs no enteral tube feeding Pain and comfort · people with severe dementia Enteral tube feeding for people with severe dementia (2021) · Cochrane | no estimate extracted | NR | No studies |