Evidence map›Paper›PMID 30089761›Full record

ArticleAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia2019

Preventive Effect of Suvorexant for Postoperative Delirium after Coronary Artery Bypass Grafting.

Kiyoshi Tamura, Toshiyuki Maruyama, Syogo Sakurai

Registry-linked trialAbstract read
In one paragraph

Article in Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04092894 (Effects of the Orexin Receptor Antagonist Suvorexant on Sleep Architecture and Delirium in the Intensive Care Unit), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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.

NCT04092894 phase4completednot on this mapstarted 2020, after this paper: background citation

Effects of the Orexin Receptor Antagonist Suvorexant on Sleep Architecture and Delirium in the Intensive Care Unit: A Multi-Centric Randomized Controlled Trial

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2020 to 2025Enrolled100ConditionsInsomnia, Sleep Fragmentation, Sleep Initiation and Maintenance Disorders, Postoperative DeliriumArmsSuvorexant 20 mg, Placebo oral tablet
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Efficacy of Orexin Receptor Antagonist for Postoperative Atrial Fibrillation in Patients Who Underwent Off-Pump Coronary Artery Bypass Grafting.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2023
    Article
  7. Sleep and critical illness: a review.Frontiers in medicine · 2023
    Review
  8. 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

3 authors.

Kiyoshi TamuraDepartment of Cardiovascular Surgery, Soka Municipal Hospital, Soka, Saitama, Japan.
Toshiyuki MaruyamaDepartment of Cardiovascular Surgery, Soka Municipal Hospital, Soka, Saitama, Japan.
Syogo SakuraiDepartment of Cardiovascular Surgery, Soka Municipal Hospital, Soka, Saitama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSuvorexant is an orexin receptor antagonist and is effective in inducing sleep. We hypothesized that Suvorexant would reduce the incidence of postoperative delirium (POD) after coronary artery bypass grafting (CABG).

methodsWe reviewed 88 patients (12 women, mean age: 69.3 ± 2.5 years) who were undergone CABG alone. Patients were divided into two groups; patients received Suvorexant (S group, n = 36), patients not received Suvorexant (N group, n = 52), and the following data were analyzed and compared between two groups.

resultsIntensive Care Unit Delirium Screening Checklist Score was significantly lower in S group compared with N group (N:S = 2.0 ± 1.7:0.8 ± 1.0, p = 0.0003). Although POD was present in 11 of 52 patients (21.2%) in N group, one patient (2.8%) developed in S group (p = 0.008). In S group, both intensive care unit stay (N:S = median 6:5 days, p = 0.001) and hospital stay (N:S = median 23:20 days, p = 0.035) were significantly shorter than in N group.

conclusionsSuvorexant might reduce incidence of POD in patients undergone CABG.

Indexed as

AgedAzepinesChecklistCoronary Artery BypassDeliriumDrug Administration ScheduleFemaleHumansLength of StayMaleMiddle AgedOrexin Receptor AntagonistsRetrospective StudiesTime FactorsTreatment OutcomeTriazolesAzepinesOrexin Receptor AntagonistssuvorexantTriazolescoronary artery bypass graftingorexin receptor antagonistpostoperative deliriumSuvorexant

Identifiers

PMID30089761
PMCPMC6388307

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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.