Evidence map›Paper›PMID 27068284›Full record

ReviewJournal of cardiothoracic surgery2016

Is hyperlipidemia a potential protective factor against intraoperative awareness in cardiac surgery?

Qingshui Zheng, Qian Wang, Chaoqun Wu, Zhifa Wang, Hushan Ao

Abstract readReview
In one paragraph

Review in Journal of cardiothoracic surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. 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

5 authors.

Qingshui ZhengDepartment of Anesthesiology, Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
Qian WangDepartment of Anesthesiology, Ordos Central Hospital, Inner Mongolia Medical University, Inner Mongolia, China.
Chaoqun WuFuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
Zhifa WangDepartment of Anesthesiology, Ordos Central Hospital, Inner Mongolia Medical University, Inner Mongolia, China. wangzf211@sina.com.
Hushan AoFuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. aohushan@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntraoperative awareness is a dreaded complication that leads to psychological sequelae such as posttraumatic stress disorder, especially in patients undergoing cardiac surgery. This study investigated the incidence of awareness among patients receiving cardiac surgery and sought to identify the risk factors contributing to intraoperative awareness.

methodsPatients with informed consent undergoing cardiac surgery from June to September in 2012 were enrolled. At least one structured interview was performed postoperatively with the modified Brice Interview Questionnaire to identify intraoperative awareness as confirmed awareness, possible awareness, and no awareness. Confirmed awareness events reported by patients were classified into different categories with the Michigan Awareness Classification Instrument. The questionnaire results were combined with the patient medical records. A logistic regression model was used to analyze the risk factors that may have led to intraoperative awareness.

resultsAn estimated 2136 patients were included, and 1874 patients completed at least one interview. 83 patients (4.4 %) were identified as possible or confirmed awareness, among which 46 (2.5 %) reported confirmed awareness. Patients who experienced confirmed awareness were mostly of Class 1 and 2, 15 and 24 patients respectively, which represented isolated auditory and tactile perceptions. And 11 patients reported feelings of distress intraoperatively. Hyperlipidemia was associated with intraoperative awareness (OR = 0.499, 95 % CI = 0.252-0.989, p = 0.043) and using chi-square test, however, no significance was found with logistic regression.

conclusionPatients undergoing cardiac surgery are at high risk for intraoperative awareness. Distress is a common feeling in patients with intraoperative awareness. Hyperlipidemia is a potential protective factor for intraoperative awareness in cardiac surgery.

Indexed as

AgedAnesthesia, GeneralCardiac Surgical ProceduresChinaFemaleHumansHyperlipidemiasIncidenceIntraoperative AwarenessMaleMiddle AgedProtective FactorsRisk FactorsSurveys and QuestionnairesAnesthesiaCardiac surgeryHyperlipidemiaIntraoperative awarenessIntraoperative complicationsProtective factor

Identifiers

PMID27068284
PMCPMC4828887

What OpenQuestion holds

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Registered trials

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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.