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Orgeta V, Leung P, Yates L, et al. Individual cognitive stimulation therapy for dementia: a clinical effectiveness and cost-effectiveness pragmatic, multicentre, randomised controlled trial. Southampton (UK): NIHR Journals Library; 2015 Aug. (Health Technology Assessment, No. 19.64.)
Individual cognitive stimulation therapy for dementia: a clinical effectiveness and cost-effectiveness pragmatic, multicentre, randomised controlled trial.
Show detailsSerious adverse events
In the iCST trial a SAE was defined as an untoward occurrence, experienced by the person with dementia or their carer, which:
- resulted in death
- was life-threatening
- required hospitalisation or prolongation of existing hospitalisation
- resulted in persistent or significant disability or incapacity
- is otherwise considered medically significant by the principal investigator.
In addition, any cases in which action was taken in line with the protocol with regard to alleged or suspected abuse/neglect that required protection of vulnerable adults was considered to be a SAE.
All iCST centres were asked to report any of the above instances either for the person with dementia or their carer by categorising them as below:
- death
- life-threatening
- hospitalisation or prolongation of existing hospitalisation
- persistent or significant disability or incapacity
- otherwise considered medically significant by the investigator
- alleged/suspected abuse/neglect, as detailed in protection of vulnerable adults protocol.
There were a total of 51 SAEs reported during the trial, all of which were reported directly to the Chief Investigator. There were 25 SAEs reported in the iCST group and 26 events reported in the TAU group. There were 10 deaths reported, of which nine were deaths of the person with dementia and one was a carer death. There were only eight deaths noted on the CONSORT flowchart as in the remaining cases participants were lost to follow-up prior to their death being reported. A total of 44 of the SAEs related to the person with dementia and the remaining seven involved the carer. None of the SAEs reported was related to the trial. Details of these events broken down by treatment allocation are provided below (Table 60). Details of types of SAEs are presented below (Table 61). For three people with dementia there were two SAEs reported, which included hospitalisation, followed by death.
- Serious adverse events - Individual cognitive stimulation therapy for dementia: ...Serious adverse events - Individual cognitive stimulation therapy for dementia: a clinical effectiveness and cost-effectiveness pragmatic, multicentre, randomised controlled trial
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