Evidence map›Paper›PMID 29621031›Full record

ReviewAnesthesiology2018

Neurocognitive Function after Cardiac Surgery: From Phenotypes to Mechanisms.

Miles Berger, Niccolò Terrando, S Kendall Smith, Jeffrey N Browndyke, Mark F Newman, Joseph P Mathew

6 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Anesthesiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 129 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 9 pooled it
14.2field-weighted citation impact, top 1% 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.

NCT04632719 nacompletednot on this mapstarted 2020, after this paper: background citation

MentalPlus® for Assessment and Rehabilitation of Cognitive Functions After Remission of Symptoms of COVID-19

TypeinterventionalSponsorUniversity of Sao PauloRan2020 to 2023Enrolled200ConditionsCognitive Impairment, Covid19, Cognitive Dysfunction, Depression, AnxietyArmsThe use of the MentalPlus® digital game for assessment and rehabilitation of cognitive function after remission of the symptoms of COVID-19
NCT04713644 completednot on this mapstarted 2021, after this paper: background citation

Study of the Association Between Burst Suppression During Anesthetic Induction With Propofol in Cardiac Surgery in Patients Over 65 Years of Age With Postoperative Delirium

TypeobservationalSponsorPontificia Universidad Catolica de ChileRan2021 to 2024Enrolled78ConditionsPostoperative DeliriumArmsStandardized Propofol Administration
NCT05279898 nacompletednot on this mapstarted 2023, after this paper: background citation

Perioperative Multimodal General AnesTHesia Focusing on Specific CNS Targets in Patients Undergoing carDiac surgERies - the PATHFINDER II Study

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2023 to 2024Enrolled70ConditionsPostoperative Delirium, Hemodynamic Instability, Pain, Neurocognitive DysfunctionArmsEEG Monitoring, Ropivacaine, Ketamine, Remifentanil, Dexmedetomidine
NCT05461092 early_phase1recruitingnot on this mapstarted 2024, after this paper: background citation

Regional Nerve Blocks to Improve Analgesia and Recovery in Older Adults Undergoing Spinal Fusion

TypeinterventionalSponsorUniversity of IowaRan2024 to 2026Enrolled50ConditionsDelirium, Pain, Back, Spinal Fusion, Thoracolumbar Interfascial Plane BlockArmsThoracolumbar Interfascial Plane (TLIP) Block of bupivacaine, Blood Test, 3D CAM Delirium Severity Scoring, Generalized Anxiety Disorder 7-item (GAD-7) scale, Numerical Rating Score (NRS)
NCT06326996 early_phase1recruitingnot on this mapstarted 2024, after this paper: background citation

Thiamine Intervention and Cognition in Older Adults Undergoing Coronary Artery Bypass Grafting - A Randomized Clinical Trial.

TypeinterventionalSponsorUniversity of California, Los AngelesRan2024 to 2026Enrolled52ConditionsCoronary Heart Disease, Coronary Artery Bypass GraftingArmsThiamine, Placebo
NCT07231731 completednot on this mapstarted 2022, after this paper: background citation

Association of MicroRNA-151-5p Expression With Systemic Inflammatory Response and Cognitive Status in Patients After Coronary Artery Bypass Surgery (MiRNACOG)

Typeobservational_patient_registrySponsorOsijek University HospitalRan2022 to 2023Enrolled48ConditionsBiomarkers, Coronary Artery Bypass Surgery, Interleukin-6, MicroRNAs
3 · Its place in the literature

Who cites it

129 citing papers in PubMed, 9 syntheses or guidelines pooled it, 249 citations in OpenAlex.

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  3. Prevalence of Hearing Loss After Open-Heart Surgery: A Systematic Review.Brazilian journal of cardiovascular surgery · 2025
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69 more citing papers are in PubMed but not listed here.

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 1 institution in 2 countries.

Miles BergerFrom the Department of Anesthesiology (M.B., N.T., S.K.S., M.F.N., J.P.M.) Division of Geriatric Behavioral Health, Department of Psychiatry and Behavioral Sciences (J.N.B), Duke University Medical Center, Durham, North Carolina.
Niccolò Terrando
S Kendall Smith
Jeffrey N Browndyke
Mark F Newman
Joseph P Mathew
Duke University · US

Funding

REVISED CAROL ACT IIU01HL088942 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GELIJNS, ANNE CHRISTINE, MOSKOWITZ, ALAN J · 2007 to 2025
$122.6M
Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Sarah B. Peskoe · 2006 to 2026
$24.6M
Neurovascular dysfunction in delirium superimposed on dementiaR01AG057525 · NIA · DUKE UNIVERSITY · PI Niccolo Terrando · 2017 to 2026
$6.7M
INTEGRATED TRAINING IN ANESTHESIOLOGY RESEARCHT32GM008600 · NIGMS · DUKE UNIVERSITY · PI Miriam Treggiari · 1996 to 2026
$6.6M
Facility and Web-based Approaches to Lifestyle Change in Resistant HypertensionR01HL122836 · NHLBI · DUKE UNIVERSITY · PI BLUMENTHAL, JAMES A, SHERWOOD, ANDREW · 2015 to 2019
$4.2M
Cognitive Effects of Body Temperature During Hypothermic Circulatory ArrestR01HL130443 · NHLBI · DUKE UNIVERSITY · PI HUGHES, G. CHAD, MATHEW, JOSEPH P · 2016 to 2020
$3.5M
PeriOperative Interventional Neuroprotection Trial-POINTR01HL069081 · NHLBI · DUKE UNIVERSITY · PI NEWMAN, MARK FRANKLIN · 2002 to 2006
$2.6M
Lidocaine for Neuroprotection During Cardiac SurgeryR01HL096978 · NHLBI · DUKE UNIVERSITY · PI MATHEW, JOSEPH P · 2009 to 2013
$1.8M
GENETICS, INFLAMMATION &POST-OP COGNITIVE DYSFUNCTIONR01AG016762 · NIA · DUKE UNIVERSITY · PI NEWMAN, MARK FRANKLIN · 1999 to 2003
$1.6M
Neuro-inflammation in Postoperative Cognitive Dysfunction: CSF and fMRI StudiesK76AG057022 · NIA · DUKE UNIVERSITY · PI BERGER, MILES · 2017 to 2022
$1.4M
Assessing Large-scale Brain Connectivities in Mild Cognitive ImpairmentR01AG042599 · NIA · UNIVERSITY OF GEORGIA · PI LIU, TIANMING · 2013 to 2017
$1.4M
Cortical Beta-amyloid Levels and Neurocognitive Performance After Cardiac SurgeryR21HL108280 · NHLBI · DUKE UNIVERSITY · PI MATHEW, JOSEPH P · 2011 to 2012
$432k
NHLBI NIH HHS R01 HL069081NHLBI NIH HHS R01 HL096978NHLBI NIH HHS R01 HL122836NHLBI NIH HHS R01 HL130443NHLBI NIH HHS R21 HL108280NHLBI NIH HHS R21 HL109971NHLBI NIH HHS U01 HL088942NIA NIH HHS K76 AG057022NIA NIH HHS P30 AG028716NIA NIH HHS R01 AG016762NIA NIH HHS R01 AG042599NIA NIH HHS R01 AG057525NIA NIH HHS R03 AG050918NIGMS NIH HHS T32 GM008600
6 · The paper itself

Abstract

For half a century, it has been known that some patients experience neurocognitive dysfunction after cardiac surgery; however, defining its incidence, course, and causes remains challenging and controversial. Various terms have been used to describe neurocognitive dysfunction at different times after cardiac surgery, ranging from "postoperative delirium" to "postoperative cognitive dysfunction or decline." Delirium is a clinical diagnosis included in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Postoperative cognitive dysfunction is not included in the DSM-5 and has been heterogeneously defined, though a recent international nomenclature effort has proposed standardized definitions for it. Here, the authors discuss pathophysiologic mechanisms that may underlie these complications, review the literature on methods to prevent them, and discuss novel approaches to understand their etiology that may lead to novel treatment strategies. Future studies should measure both delirium and postoperative cognitive dysfunction to help clarify the relationship between these important postoperative complications.

Indexed as

Mental Status and Dementia TestsCardiac Surgical ProceduresCognitive DysfunctionHumansNeuropsychological TestsPhenotypePostoperative Complications

Identifiers

PMID29621031
PMCPMC6148379
OpenAlexW2796349681

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.