Evidence map›Paper›PMID 38286230›Full record

ArticleJournal of affective disorders2024

Ketamine for major depressive disorder during an inpatient psychiatric admission: Effectiveness, adverse events, and lessons learned.

Benjamin D Brody, Nana Park, Alexander Christian, Charles W Shaffer, Roy Smetana, Nabil Kotbi, Mark J Russ, Dora Kanellopoulos

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.1field-weighted citation impact, top 10% 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, 7 citations in OpenAlex.

  1. Observational
  2. Article
  3. Review
  4. Observational
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

8 authors at 5 institutions in 1 country.

Benjamin D BrodyWeill Cornell Medicine/Psychiatry, New York and White Plains, NY, United States of America. Electronic address: Jeb9083@med.cornell.edu.
Nana ParkNew York Presbyterian Hospital, United States of America.
Alexander ChristianNew York Presbyterian Hospital, United States of America.
Charles W ShafferWeill Cornell Medicine/Psychiatry, New York and White Plains, NY, United States of America.
Roy SmetanaWeill Cornell Medicine/Psychiatry, New York and White Plains, NY, United States of America.
Nabil KotbiWeill Cornell Medicine/Psychiatry, New York and White Plains, NY, United States of America.
Mark J RussSilver Hill Hospital, United States of America.
Dora KanellopoulosWeill Cornell Medicine/Psychiatry, New York and White Plains, NY, United States of America.
Cornell University · USWeill Cornell Medicine · USNew York Hospital Queens · USNewYork–Presbyterian Hospital · USSilverton Hospital · US

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384
6 · The paper itself

Abstract

objectiveMost studies examining the efficacy of ketamine for Major Depressive Disorder (MDD) have been conducted in outpatient or mixed inpatient/outpatient settings. Less is known about effectiveness and tolerability of ketamine for psychiatrically hospitalized patients. Efficacy and tolerability data from a naturalistic sample of acute inpatients may help inform institutions considering ketamine therapy for inpatient services.

methodsWe performed a retrospective chart review of inpatients with non-psychotic MDD treated during the initial 3 years of a ketamine infusion program. Treatment effectiveness was defined using change in Montgomery Asberg Depression Rating Scale (MADRS) scores over five infusions. MDD treatment response was defined by a 50 % reduction of MADRS score, and remission was defined as MADRS score ≤ 10 at any point during the treatment. We also report the frequency of adverse events.

results41 patients with MDD were treated and had outcome data. 19 patients (46.5 %) met criteria for response and 15 patients (26.5 %) met criteria for remission during treatment. Four patients (10 %) had adverse psychological or behavioral outcomes. LIMITATIONS: MADRS scales were administered by psychiatrists, psychologists, and trainees in each discipline who did not undergo standardized training in scale administration. Consistent data regarding the race/ethnicity of the patients was not available.

conclusionTwice weekly racemic ketamine infusion is an effective treatment option for patients hospitalized with MDD. Unmonitored or at home ketamine therapy may pose substantial risks.

Indexed as

Depressive Disorder, Treatment-ResistantKetamineMajor Depressive DisorderHumansInpatientsRetrospective StudiesTreatment OutcomeKetamineInpatient psychiatryKetamineKetamine risksKetamine side effectsMajor depressive disorder

Identifiers

PMID38286230
PMCPMC12728802
OpenAlexW4391288692

What OpenQuestion holds

Textmetadata
LicenceTDM
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.