Evidence map›Paper›PMID 28567698›Full record

Trial reportPsychopharmacology2017

Incidence and risk factors of acute akathisia in 493 individuals with first episode non-affective psychosis: a 6-week randomised study of antipsychotic treatment.

Maria Juncal-Ruiz, Mariluz Ramirez-Bonilla, Jorge Gomez-Arnau, Victor Ortiz-Garcia de la Foz, Paula Suarez-Pinilla, Obdulia Martinez-Garcia, Karl David Neergaard, Rafael Tabares-Seisdedos, Benedicto Crespo-Facorro

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  6. Review
  7. Article
  8. Article
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  11. Observational
  12. Review
  13. Efficacy of low-dose DNeuropsychiatric disease and treatment · 2019
    Article
  14. Review
  15. Management of common adverse effects of antipsychotic medications.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2018
    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

9 authors at 7 institutions in 2 countries.

Maria Juncal-RuizDepartment of Psychiatry, Marqués de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Avda. Vadelcilla s/n, 39008, Santander, Spain. mjuncal11@gmail.com.
Mariluz Ramirez-BonillaDepartment of Psychiatry, Marqués de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Avda. Vadelcilla s/n, 39008, Santander, Spain.
Jorge Gomez-ArnauDepartment of Psychiatry, Alcalá de Henares University Hospital, Coslada, Madrid, Spain.
Victor Ortiz-Garcia de la FozDepartment of Psychiatry, Marqués de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Avda. Vadelcilla s/n, 39008, Santander, Spain.
Paula Suarez-PinillaDepartment of Psychiatry, Marqués de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Avda. Vadelcilla s/n, 39008, Santander, Spain.
Obdulia Martinez-GarciaDepartment of Psychiatry, Marqués de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Avda. Vadelcilla s/n, 39008, Santander, Spain.
Karl David NeergaardDepartment of Chinese and Bilingual Studies, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Rafael Tabares-SeisdedosDepartment of Medicine, University of Valencia, Centro de Investigación Biomédica en Red en el area de Salud Mental (CIBERSAM), Valencia, Spain.
Benedicto Crespo-FacorroDepartment of Psychiatry, Marqués de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Avda. Vadelcilla s/n, 39008, Santander, Spain. bcfacorro@humv.es.
Instituto de Investigación Marqués de Valdecilla · ESCentro de Investigación Biomédica en Red de Salud Mental · ESHong Kong Polytechnic University · HKMarqués de Valdecilla University Hospital · ESUniversidad de Alcalá · ESUniversidad de Cantabria · ESUniversitat de València · ES

Funding

Fundación Marqués de Valdecilla API07/011Instituto de Salud Carlos III PI060507Plan Nacional de Drugs Research Grant 2005-Orden sco/3246/2004SENY Fundació Research Grant CI 2005-0308007
6 · The paper itself

Abstract

introductionAcute akathisia is a neuropsychiatric syndrome with a negative effect on illness outcome. Its incidence in patients treated with antipsychotics has shown to be highly variable across studies.

objectivesOur goals were to investigate prevalence, risk factors for the development of acute akathisia, and differences in incidence between antipsychotics in a sample of 493 first episode non-affective psychosis patients.

methodsThis is a pooled analysis of three prospective, randomized, flexible-dose, and open-label clinical trials. Patients were randomized assigned to different arms of treatment (haloperidol, quetiapine, olanzapine, ziprasidone, risperidone, or aripiprazole). Akathisia was determined using the Barnes Akathisia Scale at 6 weeks after antipsychotic initialization. Univariate analyses were performed to identify demographic, biochemical, substance use, clinical, and treatment-related predictors of acute akathisia. Considering these results, a predictive model based of a subsample of 132 patients was constructed with akathisia as the dependent variable.

resultsThe overall incidence of akathisia was 19.5%. No differences in demographic, biochemical, substance use, and clinical variables were found. Significant incidence differences between antipsychotics were observed (Χ

conclusionsAmong second generation antipsychotics, only olanzapine and quetiapine should be considered as akathisia-sparing drugs. The type of antipsychotic, having been hospitalized, and a more severe symptomatology at intake seem to predict the development of acute akathisia.

Indexed as

AdultAkathisia, Drug-InducedAntipsychotic AgentsAripiprazoleBenzodiazepinesFemaleHaloperidolHumansIncidenceMaleOlanzapinePiperazinesProspective StudiesPsychotic DisordersQuetiapine FumarateRisk FactorsAntipsychotic AgentsAripiprazoleBenzodiazepinesHaloperidolOlanzapinePiperazinesQuetiapine FumarateRisperidoneThiazolesziprasidoneAntipsychoticExtrapyramidalPrevalencePsychosisSchizophreniaSide effect

Identifiers

PMID28567698
OpenAlexW2620335283

What OpenQuestion holds

Textmetadata
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.