Evidence map›Paper›PMID 25887557›Full record

Trial reportBMC geriatrics2015

The protocol of the Oslo Study of Clonidine in Elderly Patients with Delirium; LUCID: a randomised placebo-controlled trial.

Bjørn Erik Neerland, Karen Roksund Hov, Vegard Bruun Wyller, Eirik Qvigstad, Eva Skovlund, Alasdair M J MacLullich, Torgeir Bruun Wyller

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01956604 (The Oslo Study of Clonidine in Elderly Patients With Delirium), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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.

NCT01956604 phase2terminatednot on this map

The Oslo Study of Clonidine in Elderly Patients With Delirium

TypeinterventionalSponsorOslo University HospitalRan2014 to 2017Enrolled20ConditionsDeliriumArmsClonidine, Placebo
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Orthogeriatric co-management reduces incidence of delirium in hip fracture patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Observational
  9. Article
  10. A roadmap to advance delirium research: Recommendations from the NIDUS Scientific Think Tank.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2020
    Article
  11. The neuropsychology of delirium: advancing the science of delirium assessment.International journal of geriatric psychiatry · 2018
    Review
  12. 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

7 authors at 3 institutions in 2 countries.

Bjørn Erik NeerlandOslo Delirium Research Group, Department of Geriatric Medicine, University of Oslo, Pb 4956, N-0424, Oslo, Norway. bjorn.erik@neerland.net.
Karen Roksund HovOslo Delirium Research Group, Department of Geriatric Medicine, University of Oslo, Pb 4956, N-0424, Oslo, Norway. karenroksundhov@gmail.com.
Vegard Bruun WyllerDepartment of Pediatrics, Akershus University Hospital, Lørenskog, Norway. brwylle@online.no.
Eirik QvigstadDepartment of Cardiology, Oslo University Hospital, Oslo, Norway. eirik.qvigstad@medisin.uio.no.
Eva SkovlundSchool of Pharmacy, University of Oslo, Oslo, Norway. eva.skovlund@farmasi.uio.no.
Alasdair M J MacLullichEdinburgh Delirium Research Group, Geriatric Medicine, University of Edinburgh, Room F1424, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SA, UK. a.maclullich@ed.ac.uk.
Torgeir Bruun WyllerOslo Delirium Research Group, Department of Geriatric Medicine, University of Oslo, Pb 4956, N-0424, Oslo, Norway. t.b.wyller@medisin.uio.no.
University of Oslo · NOOslo University Hospital · NOUniversity of Edinburgh · GB

Funding

Department of Health 11/143/01Medical Research Council G108/646Medical Research Council MR/L023210/1
6 · The paper itself

Abstract

backgroundDelirium affects 15% of hospitalised patients and is linked with poor outcomes, yet few pharmacological treatment options exist. One hypothesis is that delirium may in part result from exaggerated and/or prolonged stress responses. Dexmedetomidine, a parenterally-administered alpha2-adrenergic receptor agonist which attenuates sympathetic nervous system activity, shows promise as treatment in ICU delirium. Clonidine exhibits similar pharmacodynamic properties and can be administered orally. We therefore wish to explore possible effects of clonidine upon the duration and severity of delirium in general medical inpatients. METHODS/

designThe Oslo Study of Clonidine in Elderly Patients with Delirium (LUCID) is a randomised, placebo-controlled, double-blinded, parallel group study with 4-month prospective follow-up. We will recruit 100 older medical inpatients with delirium or subsyndromal delirium in the acute geriatric ward. Participants will be randomised to oral clonidine or placebo until delirium free for 2 days (Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria), or after a maximum of 7 days treatment. Assessment of haemodynamics (blood pressure, heart rate and electrocardiogram) and delirium will be performed daily until discharge or a maximum of 7 days after end of treatment. The primary endpoint is the trajectory of delirium over time (measured by Memorial Delirium Assessment Scale). Secondary endpoints include the duration of delirium, use of rescue medication for delirium, pharmacokinetics and pharmacodynamics of clonidine, cognitive function after 4 months, length of hospital stay and need for institutionalisation. DISCUSSION: LUCID will explore the efficacy and safety of clonidine for delirium in older medical inpatients.

trial registrationClinicalTrials.gov NCT01956604. EudraCT Number: 2013-000815-26.

Indexed as

Adrenergic alpha-2 Receptor AgonistsAgedClonidineCognitionDeliriumDouble-Blind MethodFemaleFollow-Up StudiesHumansLength of StayMaleProspective StudiesAdrenergic alpha-2 Receptor AgonistsClonidine

Identifiers

PMID25887557
PMCPMC4336683
OpenAlexW2076344909

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.