Evidence map›Paper›PMID 36556289›Full record

ReviewJournal of personalized medicine2022

Recognition and Management of Serotonin Toxidrome in the Emergency Department-Case Based Review.

Bianca Codrina Morarasu, Adorata Elena Coman, Cristina Bologa, Catalina Lionte, Ovidiu Rusalim Petris, Alexandr Ceasovschih, Victorita Sorodoc, Raluca Ecaterina Haliga, Gabriela Puha, Alexandra Stoica and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Definitive urine drug testing in emergency medicine: Recreational and psychiatric drug findings.Journal of mass spectrometry and advances in the clinical lab · 2025
    Article
  4. Linezolid and serotonin syndrome.The Journal of international medical research · 2025
    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

13 authors at 2 institutions in 1 country.

Bianca Codrina Morarasu2nd Internal Medicine Clinic, ''Sfântul Spiridon'' Emergency Clinical County Hospital, 700111 Iasi, Romania.
Adorata Elena Coman2nd Internal Medicine Clinic, ''Sfântul Spiridon'' Emergency Clinical County Hospital, 700111 Iasi, Romania.ORCID 0000-0002-6348-2954
Cristina Bologa2nd Internal Medicine Clinic, ''Sfântul Spiridon'' Emergency Clinical County Hospital, 700111 Iasi, Romania.ORCID 0000-0003-4779-877X
Catalina Lionte2nd Internal Medicine Clinic, ''Sfântul Spiridon'' Emergency Clinical County Hospital, 700111 Iasi, Romania.
Ovidiu Rusalim Petris2nd Internal Medicine Clinic, ''Sfântul Spiridon'' Emergency Clinical County Hospital, 700111 Iasi, Romania.
Alexandr Ceasovschih2nd Internal Medicine Clinic, ''Sfântul Spiridon'' Emergency Clinical County Hospital, 700111 Iasi, Romania.ORCID 0000-0002-0043-9051
Victorita Sorodoc2nd Internal Medicine Clinic, ''Sfântul Spiridon'' Emergency Clinical County Hospital, 700111 Iasi, Romania.
Raluca Ecaterina Haliga2nd Internal Medicine Clinic, ''Sfântul Spiridon'' Emergency Clinical County Hospital, 700111 Iasi, Romania.
Gabriela Puha2nd Internal Medicine Clinic, ''Sfântul Spiridon'' Emergency Clinical County Hospital, 700111 Iasi, Romania.
Alexandra Stoica2nd Internal Medicine Clinic, ''Sfântul Spiridon'' Emergency Clinical County Hospital, 700111 Iasi, Romania.ORCID 0000-0002-5024-3030
Oana Sirbu2nd Internal Medicine Clinic, ''Sfântul Spiridon'' Emergency Clinical County Hospital, 700111 Iasi, Romania.ORCID 0000-0003-3994-2356
Mihai Constantin2nd Internal Medicine Clinic, ''Sfântul Spiridon'' Emergency Clinical County Hospital, 700111 Iasi, Romania.
Laurentiu Sorodoc2nd Internal Medicine Clinic, ''Sfântul Spiridon'' Emergency Clinical County Hospital, 700111 Iasi, Romania.
Grigore T. Popa University of Medicine and Pharmacy · ROSpitalul Clinic Judeţean de Urgenţe "Sf. Spiridon" Iaşi · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Serotonin syndrome (SS) is a clinical toxidrome with high variability in clinical practice. It develops due to increased serotonin levels in the central nervous system. With an underestimated frequency, SS can develop following an overdose, a therapeutic dose increase, or drug to drug interaction of at least one serotonergic agent. It can present with autonomic signs, neuromuscular changes and an altered mental status. However, history and clinical examination are key features to formulate the diagnosis. Treatment options consist of supportive measures, discontinuation of the offending agent and certain therapeutic agents previously reported to improve outcomes. Physicians have limited experience with SS, partially due to the lack of its identification in clinical practice. Therefore, we have integrated, in a narrative review, the case of a young male with SS following an atypical antipsychotic overdose superimposed on chronic treatment with agents previously known to produce SS.

Indexed as

olanzapineoverdoseserotonin syndrome

Identifiers

PMID36556289
PMCPMC9782506
OpenAlexW4312195279

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.