Evidence map›Paper›PMID 26064288›Full record

ArticleInternational journal of clinical and experimental medicine2015

Effects of different anesthesia methods on cognitive dysfunction after hip replacement operation in elder patients.

Hui-Jian Shi, Xin-Hong Xue, Yue-Lan Wang, Wen-Sheng Zhang, Zi-Shen Wang, Ai-Lan Yu

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in International journal of clinical and experimental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05378659 (Neuroinflammation and Alzheimer's Pathology in Post-operative Cognitive Dysfunction), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 28% of its field
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.

NCT05378659 unknown statusnot on this mapstarted 2021, after this paper: background citation

Neuroinflammation and Alzheimer's Pathology in Post-operative Cognitive Dysfunction: A Pilot Study

TypeobservationalSponsorUniversity of Tennessee Graduate School of MedicineRan2021 to 2022Enrolled120ConditionsPost-Operative Confusion, Neuroinflammatory Response, Alzheimer DiseaseArmsMontreal Cognitive Assessment, Stroop Test, 4AT Delirium, Grooved Pegboard, NACC Cognitive Battery
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Efficacy and Safety of 3 Different Anesthesia Techniques Used in Total Hip Arthroplasty.Medical science monitor : international medical journal of experimental and clinical research · 2017
    Trial
  4. Trial
  5. Review
  6. Experimental laboratory models as tools for understanding modifiable dementia risk.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
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

6 authors at 3 institutions in 1 country.

Hui-Jian ShiDepartment of Anesthesiology, Qianfo Mountain Hospital of Shandong University Jinan 250014, China ; Department of Anesthesiology, Affilliated Hospital of Taishan Medical University Taian 271000, China.
Xin-Hong XueDepartment of Neurology, Liaocheng People's Hospital Liaocheng 252000, China.
Yue-Lan WangDepartment of Anesthesiology, Qianfo Mountain Hospital of Shandong University Jinan 250014, China.
Wen-Sheng ZhangDepartment of Anesthesiology, Affilliated Hospital of Taishan Medical University Taian 271000, China.
Zi-Shen WangDepartment of Anesthesiology, Affilliated Hospital of Taishan Medical University Taian 271000, China.
Ai-Lan YuDepartment of Anesthesiology, Liaocheng People's Hospital Liaocheng 252000, China.
Affiliated Hospital of Taishan Medical University · CNLiaocheng People's Hospital · CNShandong Provincial QianFoShan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are many risk factors for the cause of postoperative cognitive dysfunction (POCD), however, the anesthesia selection always trigger controversy for the POCD occurrence. This study aims to explore the relationship between the anesthesia and the occurrence of POCD in elder patients, and also investigate the mechanism of the POCD. One hundred elder patients with hip replacement were included in this study, which were divided into general anesthesia (GA) and epidural analgesia (EA) group. Minimum mental state examination (MMSE) method was employed to assess the nervous and mental function (POCD) in both analgesia group patients. Aβ and tau protein levels in blood were detected by using the ELISA assay. The correlation between MMSE in POCD patients and Aβ or tau was analyzed by employing the Spearman rank correlation method. The results indicated that epidural analgesia decreases the MMSE scoring compared to general analgesia (P < 0.05). General analgesia enhanced the Aβ and tau level compared to epidural analgesia (P < 0.05). Aβ and tau level were increased in the patients with POCD. The POCD occurrence rate in GA group was significantly higher compared to EA group (P < 0.05). MMSE scores of POCD patients positively correlated with Aβ or tau level (P < 0.05). In conclusion, the epidural analgesia method was better than general analgesia method for the hip replacement in elder patients. The mechanism of the POCD may be caused by the enhancement of Aβ and Tau protein.

Indexed as

cognitive dysfunctionepidural analgesiaGeneral anesthesiaminimum mental state examinationpostoperative cognitive dysfunction

Identifiers

PMID26064288
PMCPMC4443122
OpenAlexW655719319

What OpenQuestion holds

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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.