Evidence map›Paper›PMID 26816433›Full record

ArticleIndian journal of psychiatry

Theoretical and practical issues related to the management of severe and refractory psychotic illness complicated by pulmonary embolism.

Payal H Chandele, Rashmin Cholera, Sanjiv Kale, Aparna Ramakrishnan, Cecil R Ross, Chittaranjan Andrade

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
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 1 institution in 1 country.

Payal H ChandeleDepartment of Psychiatry, Dr. D. Y. Patil Hospital and Medical College, Navi Mumbai, Maharashtra, India.
Rashmin CholeraDepartment of Psychiatry, Dr. D. Y. Patil Hospital and Medical College, Navi Mumbai, Maharashtra, India.
Sanjiv KaleDepartment of Psychiatry, Dr. D. Y. Patil Hospital and Medical College, Navi Mumbai, Maharashtra, India.
Aparna RamakrishnanDepartment of Psychiatry, Dr. D. Y. Patil Hospital and Medical College, Navi Mumbai, Maharashtra, India.
Cecil R RossDepartment of Medicine, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
Chittaranjan AndradeDepartment of Psychopharmacology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Dr. D. Y. Patil Medical College, Hospital and Research Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary embolism (PE) is a potentially fatal condition. We describe the educative case of a young adult male, with a longstanding history of schizophrenia, who was receiving anticoagulant treatment because of repeated episodes of PE in the past. He presented with severe exacerbation of psychosis and did not respond to oral and parenteral antipsychotic medication during inpatient treatment. He was taken up for electroconvulsive therapy (ECT) and received a single ECT uneventfully. The ECT course had to be interrupted because of the unexpected development of a 4-day febrile illness, after which he experienced sudden onset breathlessness, which was diagnosed as acute-on-chronic PE. After the crisis resolved with 4 days of intensive care, he was managed with clozapine. We discuss concerns associated with the psychiatric management of patients with PE; special issues include the use of restraints, parenteral antipsychotic medications, anticoagulants, and ECT.

Indexed as

Anticoagulationantipsychotic drugselectroconvulsive therapyintramuscular injectionpulmonary embolismthromboembolism

Identifiers

PMID26816433
PMCPMC4711246
OpenAlexW2287744833

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.