Evidence map›Paper›PMID 29158734›Full record

ArticleJournal of toxicology2017

A Study of the Importance of Clonus Symptoms in Patients with Tramadol Poisoning.

Fares Najari, Anahita Alizadeh-Ghamsari, Maryam Vahabzadeh, Bita Dadpour, Seyed Reza Mousavi, Ideh Baradaran Kayal

Open access · goldAbstract read
In one paragraph

Article in Journal of toxicology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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 3 institutions in 1 country.

Fares NajariDepartment of Forensic Medicine and Toxicology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-4021-4957
Anahita Alizadeh-GhamsariDepartment of Medical Toxicology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Maryam VahabzadehDepartment of Medical Toxicology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Bita DadpourDepartment of Medical Toxicology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Seyed Reza MousaviDepartment of Medical Toxicology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Ideh Baradaran KayalLegal Medicine Organization of Iran, Alborz, Iran.
Mashhad University of Medical Sciences · IRIranian Legal Medicine Organization · IRShahid Beheshti University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesClinical studies to reduce the side effects of tramadol, such as seizure, are necessary. Owing to the high prevalence of tramadol consumption and subsequent complications that result from seizures, the aim of the present study was to find a relationship between clonus and prediction of seizure outcome in patients with tramadol overdose. This can be used to determine the need for essential actions if a significant indicator of preventive medical measures is observed.

methodsIn this case-control study, three groups of patients poisoned with tramadol and with marked ankle clonus were evaluated. A sample size of 50 patients per group was calculated using the Cohen first method. The data were analyzed using SPSS16 software.

resultsAll patients with ankle clonus were evaluated. Seizures occurred most commonly in patients aged 21-25 years or younger. The patients who received the preventive medication of magnesium sulfate were seizure-free for 72 h after admission.

conclusionIt is recommended that, for all patients referred with tramadol poisoning who have symptoms of ankle clonus, the administration of magnesium sulfate should be considered in addition to medication for the prevention of seizures and arrhythmias.

Identifiers

PMID29158734
PMCPMC5660783
OpenAlexW2762151871

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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.