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Review
. 2018 Feb 27:9:54.
doi: 10.3389/fpsyt.2018.00054. eCollection 2018.

1st International Experts' Meeting on Agitation: Conclusions Regarding the Current and Ideal Management Paradigm of Agitation

Affiliations
Review

1st International Experts' Meeting on Agitation: Conclusions Regarding the Current and Ideal Management Paradigm of Agitation

José Martínez-Raga et al. Front Psychiatry. .

Abstract

Agitation is a heterogeneous concept without a uniformly accepted definition, however, it is generally considered as a state of cognitive and motor hyperactivity characterized by excessive or inappropriate motor or verbal activity with marked emotional arousal. Not only the definition but also other aspects of agitated patients' care are still unsolved and need consensus and improvement. To help the discussion about agitation among experts and improve the identification, management, and treatment of agitation, the 1st International Experts' Meeting on Agitation was held in October 2016 in Madrid. It was attended by 20 experts from Europe and Latin America with broad experience in the clinical management of agitated patients. The present document summarizes the key conclusions of this meeting and highlights the need for an updated protocol of agitation management and treatment, the promotion of education and training among healthcare professionals to improve the care of these patients and the necessity to generate clinical data of agitated episodes.

Keywords: bipolar disorder; clinical practice; management; psychomotor agitation; schizophrenia.

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Figures

Figure 1
Figure 1
Agreed current and ideal acting-point for healthcare professional (HCPs) and patients/caregivers.
Figure 2
Figure 2
Spidermap of different antipsychotic (AP) formulations based on the average score for each one of the different characteristics, as resulted from the session.
Figure 3
Figure 3
Main barriers for the improvement in the management and treatment of agitation grouped by category.
Figure 4
Figure 4
Action plan to reduce current barriers and optimize the procedures and interventions for managing the agitated patient.

References

    1. Battaglia J. Pharmacological management of acute agitation. Drugs (2005) 65:1207–22.10.2165/00003495-200565090-00003 - DOI - PubMed
    1. Nordstrom K, Zun LS, Wilson MP, Md VS, Ng AT, Bregman B, et al. Medical evaluation and triage of the agitated patient: consensus statement of the American association for emergency psychiatry project Beta medical evaluation workgroup. West J Emerg Med (2012) 13:3–10.10.5811/westjem.2011.9.6863 - DOI - PMC - PubMed
    1. Pacciardi B, Mauri M, Cargioli C, Belli S, Cotugno B, Di Paolo L, et al. Issues in the management of acute agitation: how much current guidelines consider safety? Front Psychiatry (2013) 4:26.10.3389/fpsyt.2013.00026 - DOI - PMC - PubMed
    1. Piechniczek-Buczek J. Psychiatric emergencies in the elderly population. Emerg Med Clin North Am (2006) 24:467–90.10.1016/j.emc.2006.01.008 - DOI - PubMed
    1. Allen MH, Currier GW. Use of restraints and pharmacotherapy in academic psychiatric emergency services. Gen Hosp Psychiatry (2004) 26:42–9.10.1016/j.genhosppsych.2003.08.002 - DOI - PubMed