Evidence map›Paper›PMID 31722939›Full record

Observational studyBMJ open2019

Development and validation of a postoperative delirium prediction model for patients admitted to an intensive care unit in China: a prospective study.

Huanmin Xing, Wendie Zhou, Yuying Fan, Taoxue Wen, Xiaohui Wang, Guangming Chang

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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.

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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. The Role of Stress Hyperglycemia on Delirium Onset.Journal of clinical medicine · 2025
    Review
  12. Article
  13. Knowledge of Delirium Among ICU Nursing Staff: A Cross-sectional Study.Indian journal of psychological medicine · 2024
    Article
  14. Predictive modeling for post operative delirium in elderly.World journal of gastrointestinal oncology · 2024
    Article
  15. Article
  16. Article
  17. Review
  18. Observational
  19. 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

6 authors.

Huanmin XingNursing Department, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Wendie ZhouNursing School, Harbin Medical University, Harbin, Heilongjiang, China.
Yuying FanNursing School, Harbin Medical University, Harbin, Heilongjiang, China fanfanfensituan@126.com.ORCID 0000-0003-3403-2580
Taoxue WenDepartment of Quality Control, Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Xiaohui WangDepartment of Intensive Care Unit, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Guangming ChangThe Party Committee, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to develop and validate a postoperative delirium (POD) prediction model for patients admitted to the intensive care unit (ICU).

designA prospective study was conducted.

settingThe study was conducted in the surgical, cardiovascular surgical and trauma surgical ICUs of an affiliated hospital of a medical university in Heilongjiang Province, China.

participantsThis study included 400 patients (≥18 years old) admitted to the ICU after surgery. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome measure was POD assessment during ICU stay.

resultsThe model was developed using 300 consecutive ICU patients and was validated using 100 patients from the same ICUs. The model was based on five risk factors: Physiological and Operative Severity Score for the enumeration of Mortality and morbidity; acid-base disturbance and history of coma, diabetes or hypertension. The model had an area under the receiver operating characteristics curve of 0.852 (95% CI 0.802 to 0.902), Youden index of 0.5789, sensitivity of 70.73% and specificity of 87.16%. The Hosmer-Lemeshow goodness of fit was 5.203 (p=0.736). At a cutoff value of 24.5%, the sensitivity and specificity were 71% and 69%, respectively.

conclusionsThe model, which used readily available data, exhibited high predictive value regarding risk of ICU-POD at admission. Use of this model may facilitate better implementation of preventive treatments and nursing measures.

Indexed as

Critical CareAdultAgedChinaEmergence DeliriumFemaleHospitalizationHumansMaleMiddle AgedPredictive Value of TestsProspective StudiesReproducibility of ResultsRisk AssessmentROC Curvedeliriumintensive caremodels, statisticalpostoperative

Identifiers

PMID31722939
PMCPMC6858207

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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.