Evidence map›Paper›PMID 28718100›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2017

Risk factors for delirium after cardiac surgery: a historical cohort study outlining the influence of cardiopulmonary bypass.

Jason B O'Neal, Frederic T Billings, Xulei Liu, Matthew S Shotwell, Yafen Liang, Ashish S Shah, Jesse M Ehrenfeld, Jonathan P Wanderer, Andrew D Shaw

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02548975 (Risk Factors for Delirium Following Cardiac Surgery), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% 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.

NCT02548975 completednot on this map

Risk Factors for Delirium Following Cardiac Surgery

TypeobservationalSponsorVanderbilt UniversityRan2009 to 2016Enrolled5,600ConditionsDeliriumArmsStatin, beta blocker, Cardiopulmonary bypass
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Trial
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  6. Observational
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  14. Post-cardiac Surgery Delirium: When the Details Matter!Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  15. Review
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  18. Observational
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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

9 authors at 1 institution in 1 country.

Jason B O'NealDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA. jason.b.oneal@vanderbilt.edu.
Frederic T BillingsDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Xulei LiuDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.
Matthew S ShotwellDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.
Yafen LiangDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Ashish S ShahDepartment of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Jesse M EhrenfeldDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Jonathan P WandererDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Andrew D ShawDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt University Medical Center · US

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
TIPS: Training in Perioperative ScienceT32GM108554 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Eric J Delpire · 2014 to 2026
$3.7M
Hyper-oxygenation, oxidative stress, and kidney injury following cardiac surgeryR01GM112871 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BILLINGS, FREDERIC TREMAINE · 2015 to 2019
$1.8M
Mitochondrial dysfunction, oxidative stress, and surgical acute kidney injuryK23GM102676 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BILLINGS, FREDERIC TREMAINE · 2012 to 2016
$808k
National Institutes of Health (US) R01GM112871NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR002243NIGMS NIH HHS K23 GM102676NIGMS NIH HHS R01 GM112871NIGMS NIH HHS T32 GM108554NIH HHS K23GM102676NIH HHS T32GM108554
6 · The paper itself

Abstract

purposeCardiopulmonary bypass (CPB) induces a significant inflammatory response that may increase the risk for delirium. We hypothesized that exposure to CPB during coronary artery bypass grafting (CABG) surgery would correlate with an increased risk of delirium.

methodsWe reviewed clinical data from two databases at our medical centre - the Cardiac Surgery Perioperative Outcomes Database and the Society of Thoracic Surgeons Database. Patients undergoing elective CABG surgery (on-pump and off-pump) from November 1, 2009 to September 30, 2015 were included in the study. Delirium was defined as any postoperative positive Confusion Assessment Method for the Intensive Care Unit exam during the intensive care unit stay. We performed logistic regression to isolate the association between CPB exposure and delirium adjusted for predetermined risk factors and potential confounders.

resultsDuring the study period, 2,280 patients underwent elective CABG surgery, with 384 patients (16.9%) exposed to CPB. Delirium was diagnosed in 451 patients (19.8%). Exposure to CPB showed a significant independent association with delirium. Patients exposed to CPB for 142 min (90

conclusionsThe use and duration of cardiopulmonary bypass were associated with an increased risk of delirium in patients undergoing CABG surgery.

trial registrationwww.clinicaltrials.gov , NCT02548975. Registered 4 September 2015.

Indexed as

AgedCardiopulmonary BypassCohort StudiesCoronary Artery BypassCoronary Artery Bypass, Off-PumpDatabases, FactualDeliriumFemaleHumansIntensive Care UnitsLogistic ModelsMaleMiddle AgedPostoperative ComplicationsRisk Factors

Identifiers

PMID28718100
PMCPMC5693689
OpenAlexW2735392871

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.