Evidence map›Paper›PMID 33786443›Full record

ArticleCritical care explorations2021

Characterization of Nocturnal Neuroactive Medication Use and Related Sleep Documentation in Critically Ill Adults.

Arzo Hamidi, Russel J Roberts, Gerald L Weinhouse, Paul M Szumita, Jeremy R Degrado, Kevin M Dube, Mary P Kovacevic, Mia Choi, Regan Sevinsky, Matthew S Duprey and 1 more

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Chrononutrition in Critical Illness.Nutrition reviews · 2025
    Review
  3. Article
  4. Sleep during and following critical illness: A narrative review.World journal of critical care medicine · 2023
    Review
  5. Article
  6. Article
  7. Article
  8. Review
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

11 authors at 4 institutions in 1 country.

Arzo HamidiDepartment of Pharmacy, Massachusetts General Hospital, Boston, MA.
Russel J RobertsDepartment of Pharmacy, Massachusetts General Hospital, Boston, MA.
Gerald L WeinhouseDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA.
Paul M SzumitaDepartment of Pharmacy, Brigham and Women's Hospital, Boston, MA.
Jeremy R DegradoDepartment of Pharmacy, Brigham and Women's Hospital, Boston, MA.
Kevin M DubeDepartment of Pharmacy, Brigham and Women's Hospital, Boston, MA.
Mary P KovacevicDepartment of Pharmacy, Brigham and Women's Hospital, Boston, MA.
Mia ChoiDepartment of Pharmacy, Riverside University Health System, Moreno Valley, CA.
Regan SevinskyDepartment of Pharmacy, Massachusetts General Hospital, Boston, MA.
Matthew S DupreyDepartment of Pharmacy and Health Systems Sciences, Bouve College of Health Sciences, Northeastern University, Boston, MA.
John W DevlinDepartment of Pharmacy and Health Systems Sciences, Bouve College of Health Sciences, Northeastern University, Boston, MA.
Brigham and Women's Hospital · USMassachusetts General Hospital · USNortheastern University · USRiverside University Health System - Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We retrospectively characterized scheduled, newly initiated, nocturnal neuroactive medication use, and related clinician documentation, in a cohort of consecutive adults admitted greater than or equal to 24 hours to seven different medical/surgical ICUs at two academic centers who had not received a scheduled nocturnal neuroactive medication prior to admission, over a 5-month period (April 1, 2017, to August 31, 2017). A total of 207 different newly initiated, scheduled nocturnal neuroactive medication orders were written (melatonin agonist 101 [48.8%], antipsychotic 80 [38.6%], antidepressant 17 [8.2%], benzodiazepine 9 [4.3%]) in 189 (9.7%) of the 1,955 patients. Among the 1,553 nights, the 189 patients spent in the ICU, a scheduled nocturnal neuroactive medication was administered on 1,103 (71%), an "as needed" nocturnal neuroactive medication was solely administered on 183 (11.8%), delirium occurred on 736 (47.4%), and nurses were twice as likely as physicians (28.8% vs 11.4%;

Indexed as

antipsychoticsdeliriumintensive caremelatoninramelteonsleep

Identifiers

PMID33786443
PMCPMC7994043
OpenAlexW3135976053

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.