ArticleBMC psychiatry2025
Lessons on catatonia with or without delirium on the consultation-liaison psychiatry service in a Lebanese tertiary care center: a retrospective chart review of 36 cases of catatonia.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCatatonia in the physically ill is an under-investigated topic and its diagnosis remains challenging, especially when it presents with comorbid delirium. In this study, we described the presentations and correlates of confirmed cases of catatonia stratified by the presence or absence of comorbid delirium.
methodsWe examined the electronic health records of 36 patients with catatonia due to general medical condition using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria seen on the consultation-liaison Psychiatry service in a Lebanese tertiary care center. We collected variables pertaining to demographic and diagnostic information, past medical history, Bush-Francis Scale, catatonia signs and symptoms, as well as diagnostic investigations when performed.
resultsThe mean age was 55.5 ± 19.1 years, and 52% were males. 27% of patients had a history of a non-psychiatric brain disease, and 36% had a history of psychiatric diagnoses. 22% had a history of thrombotic disorders. 50% of the participants had comorbid delirium with catatonia (DeliCat syndrome). Patients with DeliCat were significantly older (64.3 ± 14.8 vs. 46.6 ± 19.1) and had significantly higher rates of history of thrombotic disorders (38% vs. 5%) compared to catatonia-only patients. Other paraclinical investigations did not differ statistically between the groups.
conclusionsThe study highlights the overlap between delirium and catatonia. Based on existing literature, we propose a model that conceptualizes catatonia and delirium as maladaptive sickness responses related to neuroinflammation and the defense cascade. This model has the potential to explain the shared pathophysiology of the two syndromes, offering a framework for future investigations.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.