Evidence map›Paper›PMID 36587448›Full record

ArticleGeneral hospital psychiatry

Effects of anti-ulcer drugs on delirium in trauma patients.

Rintaro Sogawa, Ayaka Matsuoka, Toru Murakawa-Hirachi, Nao Kikkawa, Masahiro Kamo, Shuko Tobita, Kota Shinada, Yoshito Mizoguchi, Akira Monji, Yuichiro Sakamoto and 1 more

Abstract readComment
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In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 77% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Rintaro SogawaDepartment of Pharmacy, Saga University Hospital, Nabeshima, Saga 849-8501, Japan. Electronic address: sogawari@cc.saga-u.ac.jp.
Ayaka MatsuokaDepartment of Emergency and Critical Care Medicine, Saga University, Nabeshima, Saga 849-8501, Japan.
Toru Murakawa-HirachiDepartment of Psychiatry, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan. Electronic address: si5059@cc.saga-u.ac.jp.
Nao KikkawaDepartment of Pharmacy, Saga University Hospital, Nabeshima, Saga 849-8501, Japan. Electronic address: st7647@cc.saga-u.ac.jp.
Masahiro KamoDepartment of Pharmacy, Saga University Hospital, Nabeshima, Saga 849-8501, Japan. Electronic address: sw9317@cc.saga-u.ac.jp.
Shuko TobitaDepartment of Pharmacy, Saga University Hospital, Nabeshima, Saga 849-8501, Japan. Electronic address: sn5464@cc.saga-u.ac.jp.
Kota ShinadaDepartment of Emergency and Critical Care Medicine, Saga University, Nabeshima, Saga 849-8501, Japan. Electronic address: st9137@cc.saga-u.ac.jp.
Yoshito MizoguchiDepartment of Psychiatry, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan. Electronic address: ymizo@cc.saga-u.ac.jp.
Akira MonjiDepartment of Psychiatry, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan. Electronic address: amonji@hf.rim.or.jp.
Yuichiro SakamotoDepartment of Emergency and Critical Care Medicine, Saga University, Nabeshima, Saga 849-8501, Japan.
Chisato ShimanoeDepartment of Pharmacy, Saga University Hospital, Nabeshima, Saga 849-8501, Japan. Electronic address: chisatos@cc.saga-u.ac.jp.
Saga University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHistamine-2 receptor antagonists (H2RAs) may induce a higher risk of developing delirium than proton pump inhibitors (PPIs), but current evidence is insufficient. Therefore, this study aimed to investigate whether anti-ulcer drugs increase delirium risk.

methodData were obtained from the medical records of patients admitted to a hospital due to trauma. We compared the incidence of delirium in patients who received H2RAs and PPIs with that in patients who received no anti-ulcer drugs.

resultsA total of 150, 158, and 238 patients received H2RAs, PPIs, and no anti-ulcer drugs, respectively. Delirium incidence was significantly higher in patients who received H2RAs (34.0%) and PPIs (44.9%) than in those who did not receive anti-ulcer drugs (22.3%). Even after adjustment for possible confounding factors, the association between H2RAs and delirium remained (adjusted OR 1.78; 95% CI 1.04-3.05), but that between PPIs and delirium was attenuated (adjusted OR 1.25; 95% CI 0.71-2.23).

conclusionsOur results show that H2RAs are associated with delirium risk. We replicated findings of a previous data-driven study. Clinicians need to consider the effect of delirium in anti-ulcer drug selection.

Indexed as

Anti-Ulcer AgentsDeliriumHistamine H2 AntagonistsHospitalizationHumansProton Pump InhibitorsAnti-Ulcer AgentsHistamine H2 AntagonistsProton Pump InhibitorsDeliriumHistamine-2 receptor antagonistProton pump inhibitor

Identifiers

PMID36587448
OpenAlexW4313399253

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.