Evidence map›Paper›PMID 32851079›Full record

ArticleBioMed research international2020

Elevated Level of Serum C-reactive Protein Predicts Postoperative Delirium among Patients Receiving Cervical or Lumbar Surgery.

Quan Ren, Ya-Zhou Wen, Jin Wang, Jing Yuan, Xu-Hui Chen, Yubaraj Thapa, Meng-Shuang Qiang, Fei Xu

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
1.3field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  7. Correlation of C-reactive Protein with Delirium in Obstetrics Intensive Care Unit: A Tertiary Center Experience.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
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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

8 authors at 2 institutions in 1 country.

Quan RenDepartment of Anesthesiology, Zhongda Hospital and School of Medicine, Southeast University, 87 Dingjiaqiao Rd, Nanjing, Jiangsu 210009, China.ORCID https://orcid.org/0000-0001-5259-3723
Ya-Zhou WenDepartment of Anesthesiology, Zhongda Hospital and School of Medicine, Southeast University, 87 Dingjiaqiao Rd, Nanjing, Jiangsu 210009, China.
Jin WangDepartment of Anesthesiology, Zhongda Hospital and School of Medicine, Southeast University, 87 Dingjiaqiao Rd, Nanjing, Jiangsu 210009, China.
Jing YuanDepartment of Anesthesiology, Zhongda Hospital and School of Medicine, Southeast University, 87 Dingjiaqiao Rd, Nanjing, Jiangsu 210009, China.
Xu-Hui ChenDepartment of Anesthesiology, Zhongda Hospital and School of Medicine, Southeast University, 87 Dingjiaqiao Rd, Nanjing, Jiangsu 210009, China.
Yubaraj ThapaDepartment of Anesthesiology, Zhongda Hospital and School of Medicine, Southeast University, 87 Dingjiaqiao Rd, Nanjing, Jiangsu 210009, China.
Meng-Shuang QiangDepartment of Anesthesiology, Zhongda Hospital and School of Medicine, Southeast University, 87 Dingjiaqiao Rd, Nanjing, Jiangsu 210009, China.
Fei XuNanjing Municipal Center for Disease Control and Prevention, 3 Zizhulin, Nanjing, Jiangsu 210003, China.ORCID https://orcid.org/0000-0003-1785-3635
Zhongda Hospital Southeast University · CNNanjing Municipal Center for Disease Control And Prevention · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the relationship between elevated serum C-reactive protein (CRP) level and postoperative delirium (POD).

methods206 patients scheduled to receive cervical or lumbar vertebra surgery under general anesthesia for more than 2 hours in a single medical center were observed and analyzed. Patients' serum CRP, delirious status (using the confusion assessment method (CAM)), and delirious score (using the memorial delirium assessment scale (MDAS)) were examined before surgery and 1-2 days after surgery. The association of a serum CRP elevation value from before to after surgery (D-CRP) with delirium occurrence within 2 days after surgery was assessed with a binary logistic regression model, while the association of D-CRP with the postoperative delirious score was assessed with a linear regression model. The effect of D-CRP on predicting delirium occurrence was evaluated with the area under the receiver operating characteristic (ROC) curve (AUC).

resultsD-CRP was significantly positively associated with postoperative delirium occurrence (OR = 1.047, 95%CI = 1.013, 1.082), and D-CRP was also significantly linearly associated with the postoperative delirious score (

conclusionsElevated serum CRP after surgery may be a risk factor for and a predictor of postoperative delirium.

Indexed as

AgedAnesthesia, GeneralCervical VertebraeC-Reactive ProteinDeliriumFemaleHumansLogistic ModelsLumbosacral RegionMiddle AgedPostoperative ComplicationsRisk FactorsC-Reactive Protein

Identifiers

PMID32851079
PMCPMC7436286
OpenAlexW3048626468

What OpenQuestion holds

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LicenceCC BY
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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.