Evidence map›Paper›PMID 31399842›Full record

ArticleDrugs - real world outcomes2019

Serious Cardiovascular Adverse Events Reported with Intravenous Sedatives: A Retrospective Analysis of the MedWatch Adverse Event Reporting System.

Matthew S Duprey, Nada S Al-Qadheeb, Nick O'Donnell, Keith B Hoffman, Jonathan Weinstock, Christopher Madias, Mo Dimbil, John W Devlin

Open access · goldAbstract read
In one paragraph

Article in Drugs - real world outcomes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 12 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

8 authors at 4 institutions in 2 countries.

Matthew S DupreyNortheastern University School of Pharmacy, 360 Huntington Ave, 140 TF R216, Boston, MA, 02115, USA.
Nada S Al-QadheebDepartment of Critical Care, Hafer Al Batin Central Hospital, Qurtubah, Hafar Al Batin, Saudi Arabia.
Nick O'DonnellAlbany College of Pharmacy, Albany, NY, USA.
Keith B HoffmanAdvera Health Analytics, Inc., Santa Rosa, CA, USA.
Jonathan WeinstockDivision of Cardiology, Tufts Medical Center, Boston, MA, USA.
Christopher MadiasDivision of Cardiology, Tufts Medical Center, Boston, MA, USA.
Mo DimbilAdvera Health Analytics, Inc., Santa Rosa, CA, USA.
John W DevlinNortheastern University School of Pharmacy, 360 Huntington Ave, 140 TF R216, Boston, MA, 02115, USA. j.devlin@neu.edu.ORCID http://orcid.org/0000-0003-1751-9012
Tufts Medical Center · USAlbany College of Pharmacy and Health Sciences · USNortheastern University · USNorthern Area Armed Forces Hospital · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSerious cardiovascular adverse events (SCAEs) associated with intravenous sedatives remain poorly characterized.

objectiveThe objective of this study was to compare SCAE incidence, types, and mortality between intravenous benzodiazepines (i.e., diazepam, lorazepam, and midazolam), dexmedetomidine, and propofol in the USA over 8 years regardless of the clinical setting where it was administered.

methodsThe Food and Drug Administration's MedWatch Adverse Event Reporting System was searched between 2004 and 2011 using the Evidex

resultsAmong the 2326 Food and Drug Administration's MedWatch Adverse Event Reporting System cases reported, 394 (16.9%) were related to a SCAE. The presence of a SCAE (vs. a non-SCAE) is associated with higher mortality (34 vs. 8%, p < 0.001). The percentage of cases with one or more SCAE, the case mortality rate (%), and the incidence of each SCAE (per 10

conclusionsSerious cardiac adverse events account for nearly one-fifth of intravenous sedative Food and Drug Administration's MedWatch Adverse Event Reporting System reports. These SCAEs appear to be associated with greater mortality than non-cardiac serious adverse events. Serious cardiac events may be more prevalent with either benzodiazepines or dexmedetomidine than propofol.

Identifiers

PMID31399842
PMCPMC6702539
OpenAlexW2968499559

What OpenQuestion holds

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LicenceCC BY-NC
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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.