Evidence map›Paper›PMID 29157293›Full record

ArticleDaru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences2017

Effect of memantine on post-operative cognitive dysfunction after cardiac surgeries: a randomized clinical trial.

Saba Ghaffary, Padideh Ghaeli, Azita Hajhossein Talasaz, Abbasali Karimi, Maryam Noroozian, Abbas Salehiomran, Arash Jalali

Open access · hybridAbstract read
In one paragraph

Article in Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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.

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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Postoperative cognitive dysfunction-current research progress.Frontiers in behavioral neuroscience · 2024
    Review
  5. Article
  6. Article
  7. The effect of melatonin on cognitive functions following coronary artery bypass grafting: A triple-blind randomized-controlled trial.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2023
    Article
  8. Article
  9. Article
  10. Roles for c-Abl in postoperative neurodegeneration.International journal of medical sciences · 2022
    Review
  11. Article
  12. Review
  13. Postoperative Cognitive Decline After Cardiac Surgery: A Narrative Review of Current Knowledge in 2019.Medical science monitor : international medical journal of experimental and clinical research · 2019
    Review
  14. Article
  15. 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

7 authors at 3 institutions in 1 country.

Saba GhaffaryHematology and Oncology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Padideh GhaeliDepartments of Pharmacotherapy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
Azita Hajhossein TalasazDepartments of Pharmacotherapy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran. a-talasaz@tums.ac.ir.
Abbasali KarimiTehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Maryam NoroozianMemory and Behavioral Neurology Department, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Abbas SalehiomranTehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Arash JalaliTehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Tehran University of Medical Sciences · IRRoozbeh Hospital · IRTabriz University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-operative cognitive dysfunction (POCD) is an important complication of cardiac surgeries. Glutamate plays a critical role in physiologic and pathologic conditions in the brain. Due to the role of glutamate in ischemia, this study is designed to identify the effect of memantine in prevention of POCD early and late after cardiac surgeries.

methodsIn this randomized clinical trial, 172 patients with ages 45-75 years old who underwent elective cardiac surgery were enrolled. For patients in memantine group, 5 mg of memantine per day administered at least 48 h before surgery and increased to 10 mg per day during the first 24 h after surgery and continued for 3 months. A brief Wechsler memory test (WMT) was administered before, three to 5 days after, and 3 months after surgery for both groups.

resultsBoth groups demonstrate standard pattern of cognitive dysfunction after surgery and in follow up. Pre- and post-operative WMT score showed significant improvement in memantine compared to control group (P < 0.001) both in unadjusted and adjusted with confounding factor analysis. Unadjusted pre-, post-operative, and follow up WMT score improved significantly after 3 months in memantine group (P = 0.006).

conclusionPre-operative administration of memantine protects patients from POCD following cardiac surgeries. In addition, it improves cognitive function 3 months after surgery.

trial registrationThe trial was registered in the Iranian Registry of Clinical Trials (registration number: IRCT201303168698N12 ). Memantin effect on POCD.

Indexed as

AgedCardiac Surgical ProceduresCognitive DysfunctionDrug Administration ScheduleFemaleHumansMaleMemantineMiddle AgedPostoperative CarePostoperative ComplicationsPreoperative CareRandom AllocationTreatment OutcomeMemantineCardiac surgeriesGlutamateMemantinePost-operative cognition dysfunction (POCD)Wechsler memory test (WMT)

Identifiers

PMID29157293
PMCPMC5696736
OpenAlexW2769019504

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.