Evidence map›Paper›PMID 39165898›Full record

ArticlePsychiatry and clinical psychopharmacology2024

Safety of Atypical Antipsychotics in a Child and Adolescent Inpatient Setting: A Naturalistic Study.

Hüseyin Burak Baykara, Sevay Alşen Güney, Sibelnur Avcil, Burçin Şeyda Buran, Remzi Ogulcan Cıray, Cagatay Ermis, Neslihan Inal

Abstract read
In one paragraph

Article in Psychiatry and clinical psychopharmacology, 2024. 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. Review
  2. Review
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

7 authors.

Hüseyin Burak BaykaraDepartment of Child and Adolescent Psychiatry, Dokuz Eylül University, Faculty of Medicine, Izmir, Türkiye.ORCID 0000-0002-1530-0159
Sevay Alşen GüneyDepartment of Child and Adolescent Psychiatry, Dokuz Eylül University, Faculty of Medicine, Izmir, Türkiye.ORCID 0000-0003-1064-6115
Sibelnur AvcilDepartment of Child and Adolescent Psychiatry, Aydın Adnan Menderes University, Faculty of Medicine, Aydın, Türkiye.ORCID 0000-0002-7855-894X
Burçin Şeyda BuranDepartment of Child and Adolescent Psychiatry, Balıkesir Atatürk City Hospital, Balıkesir, Türkiye.ORCID 0000-0001-5338-6865
Remzi Ogulcan CırayDepartment of Child and Adolescent Psychiatry, Mardin Training And Research Hospital, Mardin, Türkiye.ORCID 0000-0003-2864-613X
Cagatay ErmisDepartment of Child and Adolescent Psychiatry, Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Göteborg, Sweden.ORCID 0000-0001-5623-9262
Neslihan InalDepartment of Child and Adolescent Psychiatry, Dokuz Eylül University, Faculty of Medicine, Izmir, Türkiye.ORCID 0000-0003-3235-923X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study's objective was to investigate the adverse effects of atypical antipsychotics (AAPs) on the metabolic, hematological, and endocrinological systems in the inpatient environment for children and adolescents with diverse psychiatric disorders. Methods: A retrospective assessment of 208 children's and adolescents' medical records was conducted. All patients were on AAP monotherapy. At baseline and after treatment, measurements of body weight, height, body mass index (BMI), BMI z-score, fasting blood glucose (FBG), total cholesterol, low-density lipoprotein cholesterol, triglycerides, high-density lipoprotein cholesterol, complete blood count, liver functions, thyroid functions, and prolactin levels were made. Scores from the Children's Global Assessment Scale (CGAS) and the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) were preserved. Results: The overall patient population had a mean age of 14.50 ± 2.32 years, 139 girls, and 69 boys. Of the patients, 63 (30.29%) were on risperidone (RIS), 69(33.17%) were on aripiprazole (ARI), 32 (15.39%) were on quetiapine (QUE), 42 (20.19%) were on olanzapine (OLA), and 2 (0.96%) were on clozapine (CLO). In the OLA group, the BMI and BMI z-score increased more than in the RIS, QUE, and ARI groups ( Conclusion: According to the findings of our study, children and adolescents appear to be at a significant risk for psychotropic-induced PRL increase, weight gain, metabolic, and hematological consequences. To prevent serious health problems, a meticulous risk-benefit assessment for AAPs treatment should be done between clinicians and patients and their families.

Identifiers

PMID39165898
PMCPMC11332502

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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.