{"id":"https://openalex.org/W2064670932","doi":"https://doi.org/10.4103/0253-7176.85402","title":"Delayed Onset, Protracted Delirium and Aspiration Pneumonitis Associated with a Combination of Clozapine and Electroconvulsive Therapy","display_name":"Delayed Onset, Protracted Delirium and Aspiration Pneumonitis Associated with a Combination of Clozapine and Electroconvulsive Therapy","publication_year":2011,"publication_date":"2011-01-01","ids":{"openalex":"https://openalex.org/W2064670932","doi":"https://doi.org/10.4103/0253-7176.85402","mag":"2064670932","pmid":"https://pubmed.ncbi.nlm.nih.gov/22021960","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/3195162"},"language":"en","primary_location":{"id":"doi:10.4103/0253-7176.85402","doi":"https://doi.org/10.4103/0253-7176.85402","is_oa":false,"landing_page_url":"https://doi.org/10.4103/0253-7176.85402","pdf_url":null,"source":{"id":"https://openalex.org/S44261829","display_name":"Indian Journal of Psychological Medicine","issn_l":"0253-7176","issn":["0253-7176","0975-1564"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian Journal of Psychological Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3195162","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112154055","display_name":"Narayana Manjunatha","orcid":"https://orcid.org/0000-0003-2718-7904","observed_orcids":["https://orcid.org/0000-0003-2718-7904"]},"institutions":[{"id":"https://openalex.org/I699696","display_name":"National Institute of Mental Health and Neurosciences","ror":"https://ror.org/0405n5e57","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I699696"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"N. Manjunatha","raw_affiliation_strings":["Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India","institution_ids":["https://openalex.org/I699696"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071390090","display_name":"G. S. Ram Kumar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I699696","display_name":"National Institute of Mental Health and Neurosciences","ror":"https://ror.org/0405n5e57","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I699696"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"G. S. Ram Kumar","raw_affiliation_strings":["Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India","institution_ids":["https://openalex.org/I699696"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046007289","display_name":"R. Vidyendaran","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I699696","display_name":"National Institute of Mental Health and Neurosciences","ror":"https://ror.org/0405n5e57","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I699696"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"R. Vidyendaran","raw_affiliation_strings":["Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India","institution_ids":["https://openalex.org/I699696"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055214438","display_name":"Keshavan Muralidharan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I699696","display_name":"National Institute of Mental Health and Neurosciences","ror":"https://ror.org/0405n5e57","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I699696"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"K. Muralidharan","raw_affiliation_strings":["Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India","institution_ids":["https://openalex.org/I699696"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5065718043","display_name":"John P. John","orcid":"https://orcid.org/0000-0001-6756-0297","observed_orcids":["https://orcid.org/0000-0001-6756-0297"]},"institutions":[{"id":"https://openalex.org/I699696","display_name":"National Institute of Mental Health and Neurosciences","ror":"https://ror.org/0405n5e57","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I699696"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"J. P. John","raw_affiliation_strings":["Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India","institution_ids":["https://openalex.org/I699696"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5112154055"],"corresponding_institution_ids":["https://openalex.org/I699696"],"apc_list":{"value":0,"currency":"USD","value_usd":0},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":13,"citation_normalized_percentile":{"value":0.18827716,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"33","issue":"1","first_page":"80","last_page":"82"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11921","display_name":"Electroconvulsive Therapy Studies","score":0.9887999892234802,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11921","display_name":"Electroconvulsive Therapy Studies","score":0.9887999892234802,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10023","display_name":"Schizophrenia research and treatment","score":0.010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11071","display_name":"Treatment of Major Depression","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/clozapine","display_name":"clozapine","score":0.9909999966621399},{"id":"https://openalex.org/keywords/electroconvulsive-therapy","display_name":"electroconvulsive therapy","score":1.0},{"id":"https://openalex.org/keywords/delirium","display_name":"delirium","score":0.8939999938011169},{"id":"https://openalex.org/keywords/aspiration-pneumonitis","display_name":"aspiration pneumonitis","score":0.9750000238418579},{"id":"https://openalex.org/keywords/schizophrenia","display_name":"schizophrenia","score":0.9079999923706055},{"id":"https://openalex.org/keywords/drug-interactions","display_name":"drug interactions","score":0.414000004529953},{"id":"https://openalex.org/keywords/salivary-secretion","display_name":"salivary secretion","score":0.6079999804496765},{"id":"https://openalex.org/keywords/unilateral-ect","display_name":"unilateral ECT","score":0.75},{"id":"https://openalex.org/keywords/adverse-effects","display_name":"adverse effects","score":0.4880000054836273}],"concepts":[{"id":"https://openalex.org/C2780864610","wikidata":"https://www.wikidata.org/wiki/Q221361","display_name":"Clozapine","level":3,"score":0.962917685508728},{"id":"https://openalex.org/C2779753318","wikidata":"https://www.wikidata.org/wiki/Q160796","display_name":"Delirium","level":2,"score":0.8187175393104553},{"id":"https://openalex.org/C2777330709","wikidata":"https://www.wikidata.org/wiki/Q131543","display_name":"Electroconvulsive therapy","level":3,"score":0.7848987579345703},{"id":"https://openalex.org/C2776412080","wikidata":"https://www.wikidata.org/wiki/Q7431605","display_name":"Schizophrenia (object-oriented programming)","level":2,"score":0.675342321395874},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5871279835700989},{"id":"https://openalex.org/C2779524853","wikidata":"https://www.wikidata.org/wiki/Q1284347","display_name":"Pneumonitis","level":3,"score":0.43144404888153076},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.41798773407936096},{"id":"https://openalex.org/C2779727114","wikidata":"https://www.wikidata.org/wiki/Q170082","display_name":"Psychosis","level":2,"score":0.4172183871269226},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3550460636615753},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.29579177498817444},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1710679531097412},{"id":"https://openalex.org/C2777714996","wikidata":"https://www.wikidata.org/wiki/Q7886","display_name":"Lung","level":2,"score":0.10656744241714478}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.4103/0253-7176.85402","doi":"https://doi.org/10.4103/0253-7176.85402","is_oa":false,"landing_page_url":"https://doi.org/10.4103/0253-7176.85402","pdf_url":null,"source":{"id":"https://openalex.org/S44261829","display_name":"Indian Journal of Psychological Medicine","issn_l":"0253-7176","issn":["0253-7176","0975-1564"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian Journal of Psychological Medicine","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:2200363","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3195162","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:3195162","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3195162","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian J Psychol Med","raw_type":"Text"},{"id":"pmid:22021960","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22021960","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian journal of psychological medicine","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:421fdcaaa7db4179a746b778756457ce","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/421fdcaaa7db4179a746b778756457ce","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Indian Journal of Psychological Medicine, Vol 33, Iss 1, Pp 80-82 (2011)","raw_type":"article"}],"best_oa_location":{"id":"pmh:oai:europepmc.org:2200363","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3195162","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W6789430","https://openalex.org/W130215424","https://openalex.org/W1977660730","https://openalex.org/W1980552183","https://openalex.org/W2002061824","https://openalex.org/W2003809619","https://openalex.org/W2005342508","https://openalex.org/W2021156400","https://openalex.org/W2048713840","https://openalex.org/W2052515151","https://openalex.org/W2055817483","https://openalex.org/W2085360366","https://openalex.org/W2107847284","https://openalex.org/W2399245530","https://openalex.org/W2419145921"],"related_works":["https://openalex.org/W842425087","https://openalex.org/W175841311","https://openalex.org/W2765265066","https://openalex.org/W2106675797","https://openalex.org/W3196639746","https://openalex.org/W2021156400","https://openalex.org/W6789430","https://openalex.org/W2399245530","https://openalex.org/W2396536739","https://openalex.org/W2002061824"],"abstract_inverted_index":{"Few":[0],"studies":[1,18],"reported":[2],"the":[3],"efficacy":[4],"and":[5,11,25,40,61],"safety":[6],"in":[7,15,42,69,83],"combination":[8],"of":[9,34,45,59,74],"clozapine":[10,41,53],"electroconvulsive":[12],"therapy":[13],"(ECT)":[14],"schizophrenia;":[16],"systematic":[17],"are":[19,28],"lacking.":[20],"Side":[21],"effects":[22],"like":[23],"seizure,":[24],"confusional":[26],"state":[27],"reported.":[29],"Authors":[30,76],"report":[31],"two":[32],"cases":[33,71],"delayed":[35],"onset/protracted":[36],"delirium":[37,82],"with":[38,57],"ECT":[39,60,84,91],"schizophrenia,":[43],"one":[44],"whom":[46],"developed":[47],"aspiration":[48],"pneumonitis":[49],"possibly":[50],"due":[51],"to":[52,66],"hyper-salivation.":[54],"Delirium":[55],"improved":[56],"stopping":[58],"clozapine.":[62,89,97],"Clozapine":[63],"monotherapy":[64],"restarted":[65],"previous":[67],"dosages":[68],"both":[70],"without":[72],"recurrence":[73],"delirium.":[75],"recommend":[77],"for":[78,81,95],"careful":[79],"monitoring":[80],"augmentation":[85],"on":[86],"high":[87],"dose":[88],"Unilateral":[90],"may":[92],"be":[93],"preferred":[94],"augmenting":[96]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}