Evidence map›Paper›PMID 35193541›Full record

ArticleBMC psychiatry2022

Neurocognitive effects of repeated ketamine infusion treatments in patients with treatment resistant depression: a retrospective chart review.

Danika Dai, Courtney Miller, Violeta Valdivia, Brian Boyle, Paula Bolton, Shuang Li, Steve Seiner, Robert Meisner

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Review
  6. Article
  7. Article
  8. Article
  9. 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

8 authors at 1 institution in 1 country.

Danika DaiPsychiatric Neurotherapeutics Program, McLean Hospital, 115 Mill St, Belmont, MA, 02478, USA.
Courtney MillerPsychiatric Neurotherapeutics Program, McLean Hospital, 115 Mill St, Belmont, MA, 02478, USA.
Violeta ValdiviaPsychiatric Neurotherapeutics Program, McLean Hospital, 115 Mill St, Belmont, MA, 02478, USA.
Brian BoylePsychiatric Neurotherapeutics Program, McLean Hospital, 115 Mill St, Belmont, MA, 02478, USA.
Paula BoltonPsychiatric Neurotherapeutics Program, McLean Hospital, 115 Mill St, Belmont, MA, 02478, USA.
Shuang LiPsychiatric Neurotherapeutics Program, McLean Hospital, 115 Mill St, Belmont, MA, 02478, USA. Shuang.Li@MGH.HARVARD.EDU.
Steve SeinerPsychiatric Neurotherapeutics Program, McLean Hospital, 115 Mill St, Belmont, MA, 02478, USA.
Robert MeisnerPsychiatric Neurotherapeutics Program, McLean Hospital, 115 Mill St, Belmont, MA, 02478, USA.
McLean Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKetamine has emerged as a rapid-acting antidepressant in treatment-resistant depression (TRD) increasingly used in non-research, clinical settings. Few studies, however, have examined neurocognitive effects of repeated racemic ketamine infusion treatments in patients with TRD. In an effort to identify potential effects after serial infusions, we conducted a retrospective chart review to identify statistically significant changes in cognition in patient undergoing serial intravenous infusions; concomitantly, we examined baseline cognition as potential predictor of anti-depressant potential.

methodsTwenty-two patients with TRD were examined after they finished the induction phase of 8-10 repeated intravenous ketamine infusions and completed the assessments of their depressive symptoms (measured by the 16-item Quick Inventory of Depressive Symptomatology-Self Report Scale: QIDS-SR16) and cognitive function (measured by the Montreal Cognitive Assessment: MoCA) before the first and the last ketamine treatments.

resultsRepeated ketamine infusions administered through an escalating dose protocol with 8-10 infusion sessions produced a 47.2% reduction response in depression; there was no evidence of impairment as reflected in MoCA testing. There was a moderate association between baseline cognition and antidepressant response with a Pearson correlation of 0.453.

conclusionIn this naturalistic sample of patients with TRD in our clinical service, repeated ketamine infusions significantly decreased depression symptoms without impairing cognitive performance. The baseline cognition may positively predict antidepressant responses of repeated ketamine treatment.

Indexed as

Depressive Disorder, Treatment-ResistantKetamineAntidepressive AgentsHumansInfusions, IntravenousRetrospective StudiesAntidepressive AgentsKetamineKetamineNeurocognitionRepeated intravenous infusionsTreatment-resistant depression

Identifiers

PMID35193541
PMCPMC8862573
OpenAlexW4226057817

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LicenceCC BY
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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.