Evidence map›Paper›PMID 38170227›Full record

Trial reportIntensive care medicine2024

Long-term outcomes with haloperidol versus placebo in acutely admitted adult ICU patients with delirium.

Camilla Bekker Mortensen, Nina Christine Andersen-Ranberg, Lone Musaeus Poulsen, Anders Granholm, Bodil Steen Rasmussen, Maj-Brit Nørregaard Kjær, Theis Lange, Bjørn H Ebdrup, Marie Oxenbøll Collet, Anne Sofie Andreasen and 16 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
10.1field-weighted citation impact, top 1% 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Review
  9. Article
  10. Review
  11. A Dual-Camera Eye-Tracking Platform for Rapid Real-Time Diagnosis of Acute Delirium: A Pilot Study.IEEE journal of translational engineering in health and medicine · 2024
    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

26 authors at 13 institutions in 5 countries.

Camilla Bekker MortensenDepartment of Anaesthesiology and Intensive Care, Zealand University Hospital, Koege, Lykkebækvej 1, 4600, Koege, Denmark. camilla.b_mortensen@med.lu.se.ORCID 0000-0001-5202-3552
Nina Christine Andersen-RanbergDepartment of Anaesthesiology and Intensive Care, Zealand University Hospital, Koege, Lykkebækvej 1, 4600, Koege, Denmark.ORCID 0000-0002-0804-1064
Lone Musaeus PoulsenDepartment of Anaesthesiology and Intensive Care, Zealand University Hospital, Koege, Lykkebækvej 1, 4600, Koege, Denmark.
Anders GranholmCollaboration for Research in Intensive Care (CRIC), Copenhagen, Denmark.ORCID 0000-0001-5799-7655
Bodil Steen RasmussenCollaboration for Research in Intensive Care (CRIC), Copenhagen, Denmark.ORCID 0000-0003-2190-145X
Maj-Brit Nørregaard KjærCollaboration for Research in Intensive Care (CRIC), Copenhagen, Denmark.ORCID 0000-0002-6536-0504
Theis LangeCentre for Clinical Intervention Research, Copenhagen Trial Unit, Copenhagen University Hospital, Mental Health Center Glostrup, Glostrup, Denmark.
Bjørn H EbdrupCenter for Neuropsychiatric Schizophrenia Research, Mental Health Center Glostrup, Glostrup, Denmark.ORCID 0000-0002-2590-5055
Marie Oxenbøll ColletCollaboration for Research in Intensive Care (CRIC), Copenhagen, Denmark.
Anne Sofie AndreasenDepartment of Intensive Care, Copenhagen University Hospital, Herlev Hospital, Herlev, Denmark.ORCID 0000-0002-8759-3405
Morten Heiberg BestleCollaboration for Research in Intensive Care (CRIC), Copenhagen, Denmark.ORCID 0000-0001-6585-2659
Bülent UsluDepartment of Anesthesiology and Intensive Care, Zealand University Hospital, Roskilde, Denmark.
Helle Scharling PedersenDepartment of Anaesthesiology and Intensive Care, Zealand University Hospital, Koege, Lykkebækvej 1, 4600, Koege, Denmark.
Louise Gramstrup NielsenDepartment of Anesthesiology and Intensive Care, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Johanna HästbackaDepartment of Anesthesia and Intensive Care, Tampere University Hospital and Tampere University, Tampere, Finland.ORCID 0000-0002-3613-7231
Troels Bek JensenDepartment of Anaesthesia and Intensive Care, Region Hospital Gødstrup, Herning, Denmark.
Kjeld DamgaardDepartment of Anaesthesia and Intensive Care, North Denmark Regional Hospital Hjoerring, Hjoerring, Denmark.
Trine SommerDepartment of Anaesthesia and Intensive Care, University Hospital of Southern Denmark, Aabenraa, Denmark.
Matthew MorgenUniversity Hospital of Wales, Cardiff, UK.
Nilanjan DeyDepartment of Anaesthesia and Intensive Care, Holstebro Hospital, Holstebro, Denmark.ORCID 0000-0002-8283-2614
Guiseppe CiterioDepartment of Medicine and Surgery, University Milan-Bicocca, Milan, Italy.
Stine EstrupCollaboration for Research in Intensive Care (CRIC), Copenhagen, Denmark.ORCID 0000-0002-1467-7085
Ingrid EgerodCollaboration for Research in Intensive Care (CRIC), Copenhagen, Denmark.ORCID 0000-0002-9576-4390
Karin SamuelsonDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Anders PernerCollaboration for Research in Intensive Care (CRIC), Copenhagen, Denmark.
Ole MathiesenDepartment of Anaesthesiology and Intensive Care, Zealand University Hospital, Koege, Lykkebækvej 1, 4600, Koege, Denmark.ORCID 0000-0003-4544-0619
Copenhagen University Hospital · DKUniversity of Copenhagen · DKZealand University Hospital · DKLund University · SEAalborg University Hospital · DKHerlev Hospital · DKNorth Denmark Region · DKRegional Hospital Holstebro · DKRegionshospitalet Herning · DKUniversity Hospital of Wales · GBUniversity of Helsinki · FIUniversity of Milano-Bicocca · ITUniversity of Southern Denmark · DK

Funding

Innovationsfonden 4108-00011B
6 · The paper itself

Abstract

purposeWe assessed long-term outcomes in acutely admitted adult patients with delirium treated in intensive care unit (ICU) with haloperidol versus placebo.

methodsWe conducted pre-planned analyses of 1-year outcomes in the Agents Intervening against Delirium in the ICU (AID-ICU) trial, including mortality and health-related quality of life (HRQoL) assessed by Euroqol (EQ) 5-dimension 5-level questionnaire (EQ-5D-5L) index values and EQ visual analogue scale (EQ VAS) (deceased patients were assigned the numeric value zero). Outcomes were analysed using logistic and linear regressions with bootstrapping and G-computation, all with adjustment for the stratification variables (site and delirium motor subtype) and multiple imputations for missing HRQoL values.

resultsAt 1-year follow-up, we obtained vital status for 96.2% and HRQoL data for 83.3% of the 1000 randomised patients. One-year mortality was 224/501 (44.7%) in the haloperidol group versus 251/486 (51.6%) in the placebo group, with an adjusted absolute risk difference of - 6.4%-points (95% confidence interval [CI] - 12.8%-points to - 0.2%-points; P = 0.045). These results were largely consistent across the secondary analyses. For HRQoL, the adjusted mean differences were 0.04 (95% CI - 0.03 to 0.11; P = 0.091) for EQ-5D-5L-5L index values, and 3.3 (95% CI - 9.3 to 17.5; P = 0.142) for EQ VAS.

conclusionsIn acutely admitted adult ICU patients with delirium, haloperidol treatment reduced mortality at 1-year follow-up, but did not statistically significantly improve HRQoL.

Indexed as

DeliriumHaloperidolAdultHospitalizationHumansIntensive Care UnitsQuality of LifeHaloperidolDeliriumHealth-related quality of lifeICULong-term outcomesMortalityTreatment

Identifiers

PMID38170227
PMCPMC10811094
OpenAlexW4390537752

What OpenQuestion holds

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LicenceCC BY-NC
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.