Evidence map›Paper›PMID 37204681›Full record

Observational studyEuropean geriatric medicine2023

Clinical profile of trazodone users in a multisetting older population: data from the Italian GeroCovid Observational study.

Alessandra Coin, Marianna Noale, Pietro Gareri, Caterina Trevisan, Andrea Bellio, Filippo Fini, Angela Marie Abbatecola, Stefania Del Signore, Alba Malara, Enrico Mossello and 7 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in European geriatric medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

17 authors at 9 institutions in 1 country.

Alessandra CoinGeriatrics Unit, Azienda Ospedale Università di Padova, Department of Medicine (DIMED), University of Padova, Via N. Giustiniani 2, 35128, Padua, Italy. alessandra.coin@unipd.it.ORCID 0000-0003-1687-4493
Marianna NoaleNeuroscience Institute, National Research Council (CNR), Aging Branch, Padua, Italy.
Pietro GareriCenter for Cognitive Disorders and Dementia-Catanzaro Lido, ASP Catanzaro, Catanzaro, Italy.
Caterina TrevisanGeriatrics Unit, Azienda Ospedale Università di Padova, Department of Medicine (DIMED), University of Padova, Via N. Giustiniani 2, 35128, Padua, Italy.
Andrea BellioGeriatrics Unit, Azienda Ospedale Università di Padova, Department of Medicine (DIMED), University of Padova, Via N. Giustiniani 2, 35128, Padua, Italy.
Filippo FiniGeriatrics Unit, Azienda Ospedale Università di Padova, Department of Medicine (DIMED), University of Padova, Via N. Giustiniani 2, 35128, Padua, Italy.
Angela Marie AbbatecolaAzienda Sanitaria Locale (ASL) Alzheimer's Disease Day Clinics, Frosinone, Italy.
Stefania Del SignoreBluecompanion Ltd, London, UK.
Alba MalaraANASTE Humanitas Foundation, Rome, Italy.
Enrico MosselloGeriatric Intensive Care Unit, Department of Experimental and Clinical Medicine, University of Firenze, Florence, Italy.
Stefano FumagalliGeriatric Intensive Care Unit, Department of Experimental and Clinical Medicine, University of Firenze, Florence, Italy.
Stefano VolpatoDepartment of Medical Science, University of Ferrara, Ferrara, Italy.
Fabio MonzaniIntermediate Care Unit, Nursing Home Misericordia, Navacchio, Pisa, Italy.
Giuseppe BellelliAcute Geriatric Unit, IRCCS Foundation San Gerardo Hospital, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Gianluca ZiaBluecompanion Ltd, London, UK.
Raffaele Antonelli IncalziUnit of Geriatrics, Department of Medicine, Campus Bio-Medico University and Teaching Hospital, Rome, Italy.
GeroCovid Observational Working Group
University of Padua · ITUniversity of Florence · ITUniversity of Milano-Bicocca · ITNeuroscience Institute · ITUniversity of Ferrara · ITAccademia di Belle Arti di Catanzaro · ITASL Roma · ITHumanitas University · ITUniversità Campus Bio-Medico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesDepression is highly prevalent in older adults, especially in those with dementia. Trazodone, an antidepressant, has shown to be effective in older patients with moderate anxiolytic and hypnotic activity; and a common off-label use is rising for managing behavioral and psychological symptoms of dementia (BPSD). The aim of the study is to comparatively assess the clinical profiles of older patients treated with trazodone or other antidepressants.

methodsThis cross-sectional study involved adults aged ≥ 60 years at risk of or affected with COVID-19 enrolled in the GeroCovid Observational study from acute wards, geriatric and dementia-specific outpatient clinics, as well as long-term care facilities (LTCF). Participants were grouped according to the use of trazodone, other antidepressants, or no antidepressant use.

resultsOf the 3396 study participants (mean age 80.6 ± 9.1 years; 57.1% females), 10.8% used trazodone and 8.5% others antidepressants. Individuals treated with trazodone were older, more functionally dependent, and had a higher prevalence of dementia and BPSD than those using other antidepressants or no antidepressant use. Logistic regression analyses found that the presence of BPSD was associated with trazodone use (odds ratio (OR) 28.4, 95% confidence interval (CI) 18-44.7 for the outcome trazodone vs no antidepressants use, among participants without depression; OR 2.17, 95% CI 1.05-4.49 for the outcome trazodone vs no antidepressants use, among participants with depression). A cluster analysis of trazodone use identified three clusters: cluster 1 included mainly women, living at home with assistance, multimorbidity, dementia, BPSD, and depression; cluster 2 included mainly institutionalized women, with disabilities, depression, and dementia; cluster 3 included mostly men, often living at home unassisted, with better mobility performance, fewer chronic diseases, dementia, BPSD, and depression. DISCUSSION: The use of trazodone was highly prevalent in functionally dependent and comorbid older adults admitted to LTCF or living at home. Clinical conditions associated with its prescription included depression as well as BPSD.

Indexed as

COVID-19DementiaTrazodoneAgedAged, 80 and overAntidepressive AgentsCross-Sectional StudiesFemaleHumansMaleAntidepressive AgentsTrazodoneBPSD, Profile, Clinical characteristicsDementiaDepressionTrazodone

Identifiers

PMID37204681
PMCPMC10197031
OpenAlexW4377092907

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.