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. 2003 Sep 27;327(7417):708–713. doi: 10.1136/bmj.327.7417.708

Table 2.

Outcomes for 301 patients given emergency intramuscular sedation with midazolam or haloperidol-promethazine mix because of agitation and dangerous behaviour. Values are number (percentage) of patients unless stated otherwise

Patient outcomes Midazolam (n=151) Haloperidol-promethazine (n=150) Relative risk (CI)* Difference in % risk (CI)*
By 20 minutes after injection
Tranquil or asleep 134 (89) 101 (67) 1.32 (1.16 to 1.49) 22 (12 to 30)
Asleep 93 (62) 43 (29) 2.15 (1.48 to 3.11) 33 (19 to 47)
Serious adverse effect 1 (1) 1 (1)
Unknown 1 (1) 2 (1)
By 40 minutes after injection
Tranquil or asleep 141 (93) 124 (83) 1.13 (1.01 to 1.26) 10 (1 to 20)
Asleep 118 (78) 69 (46) 1.70 (1.32 to 2.19) 32 (18 to 46)
Unknown 1 (1) 2 (1)
By 60 minutes after injection
Tranquil or asleep 141 (93) 131 (87) 1.07 (0.97 to 1.18) 6 (−3 to 15)
Asleep 120 (79) 83 (55) 1.44 (1.16 to 1.78) 24 (11 to 38)
Unknown 1 (1) 2 (1)
By 120 minutes after injection
Tranquil or asleep 144 (95) 138 (92) 1.04 (0.96 to 1.12) 3 (−4 to 11)
Asleep 125 (83) 95 (63) 1.31 (1.08 to 1.57) 20 (7 to 32)
No additional tranquillising drugs 149 (99) 143 (95) 1.04 (0.98 to 1.09) 4 (−2 to 8)
Not needing restraints 118 (78) 110 (73) 1.07 (0.90 to 1.26) 5 (−8 to 18)
Unknown 1 (1) 2 (1)
By 24 hours after injection
No other episode of aggression: 107 (71) 111 (74) 0.96 (0.80 to 1.15) −3 (−16 to 10)
Unknown 2 (1) 7 (5)
Doctor not called to see patient: 100 (66) 107 (71) 0.93 (0.76 to 1.13) −5 (−19 to 8)
Unknown 2 (1) 4 (3)
Accepting oral medication: 135 (89) 139 (93) 0.96 (0.88 to 1.06) −4 (−12 to 5)
Unknown 7 (5) 5 (3)
By 2 weeks after injection
Discharged 73 (48) 69 (46) 1.05 (0.77 to 1.44) 2 (−12 to 17)
Unknown 0 3 (2)
*

99% confidence intervals, except for primary outcome (tranquil or asleep by 20 minutes), which is 95%.