ICU sedation, delirium & recovery

Agitation control with clonidine and haloperidol in critically ill patients: A retrospective analysis

J Crit CarePublished Retrospective cohort study

Authors' conclusion

This study found no difference in agitation control among ICU patients treated with clonidine, haloperidol or both.

Study context

Population
Mixed ICU patients with ≥1 agitation episode (RASS score > 1) treated with clonidine and/or haloperidolagitation episodes in 247 patients
Participants
510 patients
Exposure
Haloperidol only or both vs clonidine only
  • Clonidine onlyn = 273reference
  • Haloperidol onlyn = 88
  • Bothn = 149
Outcome
Agitation control (−2 ≤ target RASS score ≤ 1)
Follow-up
Within six hours of medication administration
Methodological detailspropensity score matching, Markov multinomial logistic regression
  • Propensity score matching
  • Markov multinomial logistic regression

Main finding

As reported in the abstract

Each group vs clonidine onlyOdds ratio (95 % CI)
Haloperidol only
1.00(0.57–1.76)
Both
0.83(0.52–1.32)

Observational data: associations, not effects.

Further findings

OutcomeAdjusted difference (mg) (95 % CI)
Propofol usageHaloperidol only vs Clonidine only- 44.8 (−89.1 to −0.5)
Propofol usageBoth vs Clonidine only- 48.4 (−85.6 to −11.1)
Opioid usageBoth vs Clonidine only- 52.3 (−93 to −11.7)

Benzodiazepine administration

No difference in benzodiazepine administration

Original publication

Agitation control with clonidine and haloperidol in critically ill patients: A retrospective analysis. J Crit Care. Published 17 June 2025. doi:10.1016/j.jcrc.2025.155135

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