Evidence map›Paper›PMID 21868736›Full record

Trial reportStroke2011

Increased frequency of first-episode poststroke depression after discontinuation of escitalopram.

Katsunaka Mikami, Ricardo E Jorge, David J Moser, Stephan Arndt, Mijin Jang, Ana Solodkin, Steven L Small, Pasquale Fonzetti, Mark T Hegel, Robert G Robinson

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Stroke, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 25% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Prevention of depression in adults with long-term physical conditions.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Review
  3. Review
  4. Developments in treating the nonmotor symptoms of stroke.Expert review of neurotherapeutics · 2020
    Review
  5. Treatment of Post-Stroke Depression.Current treatment options in neurology · 2019
    Review
  6. Article
  7. Article
  8. PET imaging of serotoninergic neurotransmission with [(11)C]DASB and [(18)F]altanserin after focal cerebral ischemia in rats.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2013
    Article
  9. Depression in Late-Life: a Focus on Prevention.Focus (American Psychiatric Publishing) · 2013
    Article
  10. 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

10 authors at 3 institutions in 1 country.

Katsunaka MikamiDepartment of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA, USA. robert-robinson@uiowa.edu
Ricardo E Jorge
David J Moser
Stephan Arndt
Mijin Jang
Ana Solodkin
Steven L Small
Pasquale Fonzetti
Mark T Hegel
Robert G Robinson
Cornell University · USBurke Rehabilitation Hospital · USDartmouth–Hitchcock Medical Center · US

Funding

Prevention of post-stroke depression-treatment strategyR01MH065134 · NIMH · UNIVERSITY OF IOWA · PI ROBINSON, ROBERT G · 2002 to 2006
$3.6M
NIMH NIH HHS R01 MH065134
6 · The paper itself

Abstract

background and purposeThe purpose of this study was to compare escitalopram, problem-solving therapy, and placebo to prevent poststroke depression during 6 months after discontinuation of treatment.

methodsWe examined for depression 33 patients assigned to placebo, 34 to escitalopram, and 41 to problem-solving therapy.

resultsAfter controlling for age, gender, prior mood disorder, and severity of stroke, new-onset major depression and Hamilton Depression scores were significantly higher 6 months after escitalopram was discontinued compared with the problem-solving therapy or placebo groups.

conclusionsDiscontinuation of escitalopram may increase poststroke depressive symptoms.

Indexed as

AgedAged, 80 and overCitalopramDouble-Blind MethodFemaleHumansMajor Depressive DisorderMaleMiddle AgedStrokeTreatment OutcomeCitalopram

Identifiers

PMID21868736
PMCPMC3223021
OpenAlexW2149950769

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.