Evidence map›Paper›PMID 39108558›Full record

ArticleGeneral hospital psychiatry

Atypical Antipsychotics and the Risk of Sudden Cardiac Death among Individuals Receiving Maintenance Hemodialysis.

Rebekah P Nash, Lily Wang, Bradley N Gaynes, Jennifer E Flythe

Abstract read
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. QT-prolonging medications: prevalence of use and associated risks in CKD.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Review
  2. 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.

Rebekah P NashDepartment of Psychiatry, University of North Carolina School of Medicine, 101 Manning Drive, CB#7160, Chapel Hill, NC, 27514, USA.
Lily WangCecil G. Sheps Center for Health Services Research, University of North Carolina, 725 M.L.K. Jr Blvd, Chapel Hill, NC, 27516, USA.
Bradley N GaynesDepartment of Psychiatry, University of North Carolina School of Medicine, 101 Manning Drive, CB#7160, Chapel Hill, NC, 27514, USA.
Jennifer E FlytheCecil G. Sheps Center for Health Services Research, University of North Carolina, 725 M.L.K. Jr Blvd, Chapel Hill, NC, 27516, USA.

Funding

QT prolonging medications and sudden cardiac death among individuals on hemodialysisR01HL152034 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FLYTHE, JENNIFER E · 2020 to 2024
$2.8M
Biopsychosocial Risk Factors for Psychiatric Disorders Following Kidney TransplantationK23MH128613 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Rebekah Potts Nash · 2022 to 2026
$1.0M
NHLBI NIH HHS R01 HL152034NIMH NIH HHS K23 MH128613
6 · The paper itself

Abstract

Objective: Individuals receiving hemodialysis have high rates of sudden cardiac death (SCD). This study characterized oral atypical antipsychotic use and compared the cardiac safety of atypical antipsychotics with QT prolongation FDA warnings to that of atypical antipsychotics without such warnings among outpatients receiving hemodialysis. Methods: Data for this active-comparator, new-user cohort study were obtained from the U.S. Renal Data System (2007-2019). The primary outcome was 1-year SCD risk. Fine and Gray proportional subdistribution hazard models with inverse probability of treatment weighting were used to estimate adjusted hazard ratios (aHR) and 95% confidence intervals (CI). Results: The quetiapine Conclusions: Quetiapine, which carries an FDA warning for QT prolongation, did not associate with cardiac risk compared to atypical antipsychotics without warnings among hemodialysis outpatients. Findings may inform prescriber selection of atypical antipsychotics in this population.

Indexed as

Antipsychotic AgentsDeath, Sudden, CardiacQuetiapine FumarateRenal DialysisAdultAgedCohort StudiesFemaleHumansLong QT SyndromeMaleMiddle AgedUnited StatesAntipsychotic AgentsQuetiapine FumarateAntipsychoticsHemodialysisQT ProlongationSudden Cardiac Death

Identifiers

PMID39108558
PMCPMC11299855

What OpenQuestion holds

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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.