Evidence map›Paper›PMID 36599495›Full record

ArticleBMJ case reports2023

Recognising side effects of antipsychotics in children with intellectual disabilities.

Jessica Lee, Rosie Shepperd, Martin Smith, Geetha Anand

Open access · greenAbstract readCase Reports
PubMed Publisher
In one paragraph

Article in BMJ case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

3 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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

4 authors at 2 institutions in 2 countries.

Jessica LeeAcute Paediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK jessicauntzlee@doctors.org.uk.ORCID http://orcid.org/0000-0002-5152-5822
Rosie ShepperdChild and Adolescent Mental Health Services Learning Disability Team, Oxford University Hospitals NHS Foundation Trust, Oxford, UK, Oxford, UK.
Martin SmithPaediatric Neurology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Geetha AnandAcute Paediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Oxford University Hospitals NHS Trust · GBMental Health Services · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Risperidone and aripiprazole are increasingly used for behavioural indications in children and adolescents with intellectual disabilities, including autism. Although there are some reports in literature, the side effect profile in this population remains poorly defined and there is a need to raise awareness among clinicians across specialties. We present two patients with significant intellectual disabilities who developed extrapyramidal side effects (EPSE) including oculogyric crisis following risperidone and aripiprazole use. The onset of these side effects can be insidious and the non-specific nature of the presentation, for example, poor mobility and increased drooling on a background of severe intellectual disability, can lend itself to delay in recognition and reporting by families. There is also reduced awareness among paediatricians, which can further delay the treatment of this reversible condition. There needs to be ongoing vigilance for EPSE as they can develop years after treatment has been initiated.

Indexed as

Antipsychotic AgentsDrug-Related Side Effects and Adverse ReactionsIntellectual DisabilityAdolescentAripiprazoleChildHumansRisperidoneAntipsychotic AgentsAripiprazoleRisperidoneChild and adolescent psychiatry (paediatrics)Paediatrics (drugs and medicines)Unwanted effects / adverse reactions

Identifiers

PMID36599495
OpenAlexW4313482951

What OpenQuestion holds

Textmetadata
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.