Evidence map›Paper›PMID 32800503›Full record

ArticleBritish journal of anaesthesia2020

Resting-state functional connectivity in early postanaesthesia recovery is characterised by globally reduced anticorrelations.

Tommer Nir, Yael Jacob, Kuang-Han Huang, Arthur E Schwartz, Jess W Brallier, Helen Ahn, Prantik Kundu, Cheuk Y Tang, Bradley N Delman, Patrick J McCormick and 4 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in British journal of anaesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02275026 (Trajectory of Recovery in the Elderly), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-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.

NCT02275026 nacompletednot on this map

Trajectory of Recovery in the Elderly

TypeinterventionalSponsorIcahn School of Medicine at Mount SinaiRan2015 to 2020Enrolled104ConditionsDelayed Emergence From Anesthesia, Postoperative Delirium, Postoperative Cognitive DysfunctionArmsFunctional magnetic resonance imaging
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Systemic inflammation, neuroinflammation and perioperative neurocognitive disorders.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Review
  6. Article
  7. Review
  8. Functional network antagonism and consciousness.Network neuroscience (Cambridge, Mass.) · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. High Multiband Acceleration Degrades Resting-State Functional MRI Reliability and Signal Quality Under Anesthesia.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    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

14 authors at 5 institutions in 1 country.

Tommer NirDepartment of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Yael JacobTranslational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Kuang-Han HuangTranslational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Arthur E SchwartzDepartment of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Jess W BrallierDepartment of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer, New York, NY, USA; Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA.
Helen AhnDepartment of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Prantik KunduDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Hyperfine Research, Guilford, CT, USA.
Cheuk Y TangDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Nash Family Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Bradley N DelmanDepartment of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Patrick J McCormickDepartment of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer, New York, NY, USA; Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA.
Mary SanoDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Stacie DeinerDepartment of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA.
Mark G BaxterDepartment of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Nash Family Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Joshua S MincerDepartment of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer, New York, NY, USA; Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA. Electronic address: mincerj@mskcc.org.
Icahn School of Medicine at Mount Sinai · USCornell University · USDartmouth–Hitchcock Medical Center · USMemorial Sloan Kettering Cancer Center · USWeill Cornell Medicine · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Research Education ComponentP30AG066514 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI NIKOLAOS K ROBAKIS · 2020 to 2026
$31.0M
Trajectory of Recovery in the ElderlyR01AG046634 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BAXTER, MARK G, MINCER, JOSHUA SAMUEL · 2014 to 2018
$2.5M
NCI NIH HHS P30 CA008748NIA NIH HHS P30 AG066514NIA NIH HHS R01 AG046634
6 · The paper itself

Abstract

backgroundA growing body of literature addresses the possible long-term cognitive effects of anaesthetics, but no study has delineated the normal trajectory of neural recovery attributable to anaesthesia alone in adults. We obtained resting-state functional MRI scans on 72 healthy human volunteers between ages 40 and 80 (median: 59) yr before, during, and after general anaesthesia with sevoflurane, in the absence of surgery, as part of a larger study on cognitive function postanaesthesia.

methodsRegion-of-interest analysis, independent component analysis, and seed-to-voxel analysis were used to characterise resting-state functional connectivity and to differentiate between correlated and anticorrelated connectivity before, during, and after general anaesthesia.

resultsWhilst positively correlated functional connectivity remained essentially unchanged across these perianaesthetic states, anticorrelated functional connectivity decreased globally by 35% 1 h after emergence from general anaesthesia compared with baseline, as seen by the region-of-interest analysis. This decrease corresponded to a consistent reduction in expression of canonical resting-state networks, as seen by independent component analysis. All measures returned to baseline 1 day later.

conclusionsThe normal perianaesthesia trajectory of resting-state connectivity in healthy adults is characterised by a transient global reduction in anticorrelated activity shortly after emergence from anaesthesia that returns to baseline by the following day. CLINICAL

trial registrationNCT02275026.

Indexed as

Anesthesia, GeneralAnesthesia Recovery PeriodAdultAgedAged, 80 and overAge FactorsBrainCognition DisordersFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedOxygenSevofluraneOxygenSevofluraneconsciousnessfunctional connectivityfunctional MRIgeneral anaesthesiaMRIrecovery

Identifiers

PMID32800503
PMCPMC7565909
OpenAlexW3048694039

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.