Evidence map›Paper›PMID 31143661›Full record

ArticleQuantitative imaging in medicine and surgery2019

The risk factors associated with delirium after lumbar spine surgery in elderly patients.

Zhimin Pan, Kai Huang, Wei Huang, Ki Hoon Kim, Hao Wu, Yanghong Yu, Keung Nyun Kim, Seong Yi, Dong Ah Shin, Darshan Vora and 9 more

Open access · diamondAbstract read
In one paragraph

Article in Quantitative imaging in medicine and surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
3.0field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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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

19 authors at 5 institutions in 7 countries.

Zhimin PanDepartment of Neurosurgery, Spine and Spinal Cord Institute, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Kai HuangDepartment of Orthopedics, Zhabei Central Hospital of Jing'an District, Shanghai 200070, China.
Wei HuangDepartment of Clinical Laboratory, Jiangxi Province Children's Hospital, Nanchang 330006, China.
Ki Hoon KimDepartment of Neurology, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Hao WuDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
Yanghong YuDepartment of Radiology, Jiangxi Province Children's Hospital, Nanchang 330006, China.
Keung Nyun KimDepartment of Neurosurgery, Spine and Spinal Cord Institute, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Seong YiDepartment of Neurosurgery, Spine and Spinal Cord Institute, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Dong Ah ShinDepartment of Neurosurgery, Spine and Spinal Cord Institute, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Darshan VoraDepartment of Neurosurgery, George Washington University, Washington, DC 20037, USA.
Cristian GragnanielloDepartment of Neurosurgery, George Washington University, Washington, DC 20037, USA.
Kevin PhanNeuroSpine Surgery Research Group (NSURG), Sydney, Australia; Prince of Wales Clinical School, University of New South Wales, Randwick, NSW 2031, Australia.
Anastasia TasiouDepartment of Neurosurgery, University Hospital of Larissa, Larissa 41110, Greece.
Mark J WinderDepartment of Neurosurgery, St Vincent's Public and Private Hospitals, Darlinghurst 2010, NSW, Australia.
Hisashi KogaPELD Center, Iwai Orthopaedic Medical Hospital, Tokyo 133-0056, Japan.
Parisa AzimiFunctional Neurosurgery Research Center of Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Suk Yun KangDepartment of Neurology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong 18450, Republic of Korea.
Yoon HaDepartment of Neurosurgery, Spine and Spinal Cord Institute, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
written on behalf of the AME Spine Surgery Collaborative Group
Yonsei University · KRCapital Medical University · CNGeorge Washington University · USJiangxi Provincial Children's Hospital · CNUniversity Hospital of Larissa · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo prospectively explore the incidence and risk factors for postoperative delirium in elderly patients following lumbar spine surgery.

methodsThis prospective study enrolled 148 consecutive patients over the age of 65 who were scheduled to undergo spine surgery. Patients were screened for delirium using the short Confusion Assessment Method (CAM) postoperatively. Patient demographics and relevant medical information were collected. Logistic regression analysis was used to identify the risk factors associated with postoperative delirium.

resultsEighty-three patients (56.1%) who underwent lumbar spine surgery (not coexisting with cervical or thoracic spine surgery) were enrolled in our study. Post-operative delirium was noted in 14.5% of patients over 65 years old. The presence of preoperative Parkinsonism was significantly higher in the delirium group (41.7%

conclusionsPost-operative delirium occurred in 14.5% of elderly patients who underwent lumbar spine surgery. Male sex, Parkinsonism, and lower baseline MMSE score were identified as independent risk factors for postoperative delirium in elderly patients following lumbar surgery.

Indexed as

Deliriumelderly patientslumbar surgeryrisk factors

Identifiers

PMID31143661
PMCPMC6511710
OpenAlexW2941424360

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.