Evidence map›Paper›PMID 29757951›Full record

SynthesisNutrients2018

Caffeine-Related Deaths: Manner of Deaths and Categories at Risk.

Simone Cappelletti, Daria Piacentino, Vittorio Fineschi, Paola Frati, Luigi Cipolloni, Mariarosaria Aromatario

2 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
–field-weighted citation impact
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.

NCT03720665 nacompletednot on this map

Cortical Excitability Changes on the Sensorimotor Cortex Induced by Caffeine Consumption: A TMS Study

TypeinterventionalSponsorUniversity Medical Center GoettingenRan2018 to 2019Enrolled30ConditionsCortical Excitability, Brain StimulationArmsCaffeine_TMS
NCT04011670 nacompletednot on this mapstarted 2019, after this paper: background citation

Neuroplastic Alterations of the Motor Cortex by Caffeine: Differences Between Caffeine and Non-caffeine Users and Influence of Vigilance During Stimulation

TypeinterventionalSponsorUniversity Medical Center GoettingenRan2019 to 2019Enrolled30ConditionsCortical Excitability, Brain Stimulation, CaffeineArms200 mg caffeine tablet, Non-active tablet
3 · Its place in the literature

Who cites it

39 citing papers in PubMed.

  1. Trial
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  9. Pediatric Exposures Associated with Caffeine Energy Products Reported to United States Poison Centers, 2011-2023.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2025
    Article
  10. Article
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  12. Article
  13. Review
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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.

Simone CappellettiDepartment of Anatomical, Histological, Forensic Medicine and Orthopedic Sciences, Sapienza University of Rome, 00161 Rome, Italy. simone.cappalletti@uniroma1.it.
Daria PiacentinoNESMOS (Neuroscience, Mental Health, and Sensory Organs) Department, Sapienza University of Rome, 00161 Rome, Italy. daria.piacentino@uniroma1.it.
Vittorio FineschiDepartment of Anatomical, Histological, Forensic Medicine and Orthopedic Sciences, Sapienza University of Rome, 00161 Rome, Italy. vfinesc@tin.it.
Paola FratiDepartment of Anatomical, Histological, Forensic Medicine and Orthopedic Sciences, Sapienza University of Rome, 00161 Rome, Italy. paola.frati@uniroma1.it.
Luigi CipolloniDepartment of Anatomical, Histological, Forensic Medicine and Orthopedic Sciences, Sapienza University of Rome, 00161 Rome, Italy. luigi.cipolloni@uniroma1.it.
Mariarosaria AromatarioDepartment of Anatomical, Histological, Forensic Medicine and Orthopedic Sciences, Sapienza University of Rome, 00161 Rome, Italy. mariarosaria.aromatario@uniroma1.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Caffeine is the most widely consumed psychoactive compound worldwide. It is mostly found in coffee, tea, energizing drinks and in some drugs. However, it has become really easy to obtain pure caffeine (powder or tablets) on the Internet markets. Mechanisms of action are dose-dependent. Serious toxicities such as seizure and cardiac arrhythmias, seen with caffeine plasma concentrations of 15 mg/L or higher, have caused poisoning or, rarely, death; otherwise concentrations of 3⁻6 mg/kg are considered safe. Caffeine concentrations of 80⁻100 mg/L are considered lethal. The aim of this systematic review, performed following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) statement for the identification and selection of studies, is to review fatal cases in which caffeine has been recognized as the only cause of death in order to identify potential categories at risk. A total of 92 cases have been identified. These events happened more frequently in infants, psychiatric patients, and athletes. Although caffeine intoxication is relatively uncommon, raising awareness about its lethal consequences could be useful for both clinicians and pathologists to identify possible unrecognized cases and prevent related severe health conditions and deaths.

Indexed as

CaffeineCoffeeHumansPoisoningTeaCaffeineCoffeeTeaaccidental deathcaffeinecaffeine intoxicationintoxicationSuicide

Identifiers

PMID29757951
PMCPMC5986491

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.