Evidence map›Paper›PMID 32664963›Full record

Observational studyJournal of cardiothoracic surgery2020

Risk factors for postoperative delirium in patients with triple-branched stent graft implantation.

Yanjuan Lin, Qiong Chen, Haoruo Zhang, Liang-Wan Chen, Yanchun Peng, Xizhen Huang, Yiping Chen, Sailan Li, Lingyu Lin

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of cardiothoracic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
1.5field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 22 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

9 authors at 2 institutions in 1 country.

Yanjuan LinDepartment of Nursing, Union Hospital, Fujian Medical University, No.29 Xinquan Road, Fuzhou, 350001, Fujian Province, China. fjxhyjl@163.com.
Qiong ChenDepartment of Nursing, Fujian Medical University, Fuzhou, China.
Haoruo ZhangDepartment of clinical medicine, Fujian Medical University, Fuzhou, China.
Liang-Wan ChenDepartment of Cardiac Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001, Fujian, China. chenliangwan@tom.com.
Yanchun PengDepartment of Cardiac Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001, Fujian, China.
Xizhen HuangDepartment of Cardiac Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001, Fujian, China.
Yiping ChenDepartment of Nursing, Fujian Medical University, Fuzhou, China.
Sailan LiDepartment of Cardiac Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001, Fujian, China.
Lingyu LinDepartment of Nursing, Fujian Medical University, Fuzhou, China.
Fujian Medical University · CNUnion Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurological complications is a common complication following novel triple-branched stent graft implantation in patients with Stanford type A aortic dissection (AAD). But the incidence and risk factors of postoperative delirium (POD) are not completely clear. The aim of this study was to investigate the incidence and risk factors of POD after novel triple-branched stent graft implantation.

methodsAn observational study of AAD patients who underwent novel triple-branched stent graft implantation between January 2017 and July 2019 were followed up after surgery. Patients' delirium was screened by the Richmond Agitation-Sedation Scale and the Confusion Assessment Method for the intensive care unit from the first day after the operation, lasted 5 days. The risk factors of POD were analyzed by the Cox proportional hazard models.

resultsA total of 280 AAD patients were enrolled in this research, the incidence of POD was 37.86%. Adjusting for age, body mass index, and mechanical ventilation duration, multivariate Cox regression analysis model revealed that non-manual work (adjusted hazard ratio [AHR] = .554; 95% CI: 0.335-0.915; P = .021), Acute Physiology and Chronic Health Evaluation II (APACHE-II) scores > 20 (AHR = 3.359, 95% CI: 1.707-6.609, P < .001), hypoxemia (AHR = 1.846, 95% CI: 1.118-3.048, P = .017), and more than two types of analgesics and sedatives were independently associated with POD.

conclusionsThis study showed that risk factors independently associated with POD were APACHE-II score > 20, hypoxemia, and more types of analgesics and sedatives, and non-manual work was the protective factor.

trial registrationThis study was retrospectively registered in the Chinese Clinical Trial Registry (Registration number: ChiCTR1900022408 ; Date: 2019/4/10).

Indexed as

StentsAortic Aneurysm, ThoracicAortic DissectionAPACHEDeliriumFemaleHumansIncidenceJapanMaleMiddle AgedPostoperative ComplicationsProportional Hazards ModelsRetrospective StudiesRisk FactorsAortic dissectionPostoperative deliriumRisk factorsTriple-branched stent graft implantation

Identifiers

PMID32664963
PMCPMC7362546
OpenAlexW3042870378

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.