Journal Article Annotations
2023, 2nd Quarter
Annotations by Samuel Kohrman, MD
This evidence-based multi-specialist consensus guideline offers a number of recommendations with varying degrees of strength. The highest strength recommendations are as follows:
Strength and weaknesses: (A few sentences on strengths and weaknesses)
This review offers an expanded set of recommendations to patients both in the general hospital/medical catatonia setting and also to other clinical populations with catatonia. Evidence-based recommendations appear appropriately rigorous. Given the relative dearth of high-powered clinical trials, recommendations are informed by smaller observational studies, case series and reports. Medical conditions associated with catatonia listed are not comprehensive and were considered outside the scope of this guideline.
Relevance: (A few sentences on the relevance of the findings for C-L psychiatrists)
This useful, rigorous, tiered evidence-based guideline on the management of catatonia offers recommendations that are practical for a broad clinical scope of practice. This work can be used in combination with more focused guidelines by ACLP, EAPM, and APM for patients with catatonia and medical illness and in the general hospital setting. Given the complex and ever-evolving understanding of pathogenesis and treatment of catatonia, these guidelines offer guidance to accompany (without substituting) clinical judgement.