Evidence map›Paper›PMID 21328719›Full record

Trial reportCroatian medical journal2011

Blood lactate levels in patients receiving first- or second- generation antipsychotics.

Trpimir Glavina, Damir Mrass, Tajana Dodig, Gordana Glavina, Shelly Pranić, Boran Uglešić

Open access · diamondAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Croatian medical journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 45% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Decreased Brain pH and Pathophysiology in Schizophrenia.International journal of molecular sciences · 2021
    Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Trpimir GlavinaPsychiatric Clinic, Split ClinicalHospital Center, Split, Croatia. trpimir.glavina@st.htnet.hr
Damir Mrass
Tajana Dodig
Gordana Glavina
Shelly Pranić
Boran Uglešić
University of Split · HRPsychiatric Hospital Sveti Ivan · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare the blood lactate levels between patients with psychotic disorder receiving first- and those receiving second-generation antipsychotics.

methodsThe study was conducted at the psychiatric inpatient and outpatient clinics of the Split Clinical Hospital from June 6, 2008 to October 10, 2009. Sixty patients with psychotic disorder who were assigned to 6-month treatment were divided in two groups: 30 received haloperidol (first generation antipsychotic) and 30 received olanzapine (second generation antipsychotic). Blood lactate levels, other metabolic parameters, and scores on the extrapyramidal symptom rating scale were assessed.

resultsPatients receiving haloperidol had significantly higher blood lactate levels than patients receiving olanzapine (P < 0.001). They also more frequently had parkinsonism, which was significantly correlated with both haloperidol treatment at 1 month (P < 0.001) and 6 months (P = 0.016) and olanzapine treatment at baseline (P = 0.016), 3 months (P = 0.019), and 6 months (P = 0.021). Also, patients receiving haloperidol had significant correlation between blood lactate and dystonia at 1 month (P < 0.001) and 6 months (P = 0.012) and tardive dyskinesia at 1 month (P = 0.032). There was a significant difference between the treatment groups in lactate levels at all points from baseline to month 6 (P < 0.001).

conclusionIt is important to be aware of the potential effect of haloperidol treatment on increase in blood lactate levels and occurrence of extrapyramidal side effects. Therefore, alternative antipsychotics should be prescribed with lower risk of adverse side effects.

Indexed as

BenzodiazepinesHaloperidolPsychotic DisordersAdultAntipsychotic AgentsDopamine AntagonistsDrug MonitoringHumansLactic AcidMaleMiddle AgedMovement DisordersOlanzapineParkinson Disease, SecondaryPsychiatric Status Rating ScalesSelective Serotonin Reuptake InhibitorsAntipsychotic AgentsBenzodiazepinesDopamine AntagonistsHaloperidolLactic AcidOlanzapineSelective Serotonin Reuptake Inhibitors

Identifiers

PMID21328719
PMCPMC3046499
OpenAlexW2021833565

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.