Evidence map›Paper›PMID 30108611›Full record

ArticleJournal of geriatric cardiology : JGC2018

Low dose oral haloperidol does not prolong QTc interval in older acutely hospitalised adults: a subanalysis of a randomised double-blind placebo-controlled study.

Edmée Jm Schrijver, Maaike Verstraaten, Peter M van de Ven, Pierre M Bet, Astrid M van Strien, Carel de Cock, Prabath Wb Nanayakkara

Open access · greenAbstract read
In one paragraph

Article in Journal of geriatric cardiology : JGC, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Edmée Jm SchrijverDepartment of Internal Medicine, VU University Medical Centre, Amsterdam, the Netherlands.
Maaike VerstraatenDepartment of Cardiology, VU University Medical Centre, Amsterdam, the Netherlands.
Peter M van de VenDepartment of Epidemiology and Biostatistics, VU University Medical Centre, the Netherlands.
Pierre M BetDepartment of Clinical Pharmacology and Pharmacy, VU University Medical Centre, the Netherlands.
Astrid M van StrienDepartment of Geriatric Medicine, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands.
Carel de CockDepartment of Cardiology, VU University Medical Centre, Amsterdam, the Netherlands.
Prabath Wb NanayakkaraDepartment of Internal Medicine, VU University Medical Centre, Amsterdam, the Netherlands.
Amsterdam UMC Location VUmc · NLJeroen Bosch Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHaloperidol is the most frequently prescribed antipsychotic for delirium symptoms. The risk of QTc prolongation often raises concerns, although the effect of haloperidol on QTc interval has not yet been investigated in a randomised placebo-controlled fixed-dose study.

methodsA subanalysis of a randomised double-blind placebo-controlled study was conducted to evaluate the effect of prophylactic haloperidol 1 mg or placebo 1 mg orally twice-daily (maximum of 14 doses) on QTc interval in patients aged 70 years and over. Bedside, 12-lead ECGs were recorded before, during and after the one-week intervention period. Automatic QTc measurements were obtained in addition to manual measurements of QT and RR intervals, blinded for treatment status. Manual measurements were corrected (QTc) using Bazett (QTc-B), Framingham (QTc-Fa), Fridericia (QTc-Fi) and Hodges (QTc-H) methods. Mixed model analyses were used to test for differences in longitudinal course of QTc between patients receiving haloperidol and placebo.

resultsECG recordings of 72 patients (haloperidol

conclusionsLow dose oral haloperidol did not result in QTc prolongation in older acutely hospitalised patients. Results may not be generalizable to patients with existing ECG abnormalities such as atrial fibrillation.

Indexed as

HaloperidolProlongationQTc intervalThe aged

Identifiers

PMID30108611
PMCPMC6087514
OpenAlexW2928709955

What OpenQuestion holds

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Registered trials

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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.