Evidence map›Paper›PMID 33081782›Full record

Observational studyBMC surgery2020

Association between postoperative changes in the gut microbiota and pseudopsia after cardiac surgery: prospective observational study.

Masaki Maekawa, Kenji Yoshitani, Musashi Yahagi, Takashi Asahara, Yoshiyuki Shishido, Satsuki Fukushima, Naoki Tadokoro, Tomoyuki Fujita, Yoshihiko Ohnishi

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

19 citing papers in PubMed, 23 citations in OpenAlex.

  1. 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

9 authors at 2 institutions in 1 country.

Masaki MaekawaDepartment of Anesthesiology, National Cerebral and Cardiovascular Center, Suita, Japan.
Kenji YoshitaniDepartment of Anesthesiology, National Cerebral and Cardiovascular Center, Suita, Japan. ykenji@ncvc.go.jp.ORCID http://orcid.org/0000-0002-9161-0028
Musashi YahagiDepartment of Anesthesiology, National Cerebral and Cardiovascular Center, Suita, Japan.
Takashi AsaharaYakult Central Institute, Kunitachi, Japan.
Yoshiyuki ShishidoYakult Central Institute, Kunitachi, Japan.
Satsuki FukushimaDepartment of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan.
Naoki TadokoroDepartment of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan.
Tomoyuki FujitaDepartment of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan.
Yoshihiko OhnishiDepartment of Anesthesiology, National Cerebral and Cardiovascular Center, Suita, Japan.
National Cerebral and Cardiovascular Center · JPYakult Central Institute · JP

Funding

Institutional funding Base-33
6 · The paper itself

Abstract

backgroundDelirium after cardiac surgery affects mortality, but the mechanism remains unclear. Previous studies have reported gut microbiota are associated with brain activity. Systemic inflammation and antibiotics can damage the gut microbiota after cardiac surgery. We aimed to investigate changes in the gut microbiota and the association between the gut microbiota and delirium after cardiac surgery.

methodsTwenty-one patients who underwent cardiac surgery were enrolled. Microbiota counts and fecal organic acid concentrations were measured in fecal samples harvested before surgery, just after surgery, and before discharge. To quantify the microbiota, we extracted total RNA fractions and examined gut microbiota composition using 16S and 23S rRNA-targeted quantitative-reverse Transcription-PCR. Postoperative delirium, insomnia, and pseudopsia were assessed for 1 week. Postoperative total bacterial counts changed significantly from 10.2 ± 0.2 log

conclusionsTotal bacterial counts were significantly lower after surgery and until discharge. Fecal pH was significantly higher than preoperative levels. Staphylococcus and Pseudomonas counts were significantly higher in patients with postoperative pseudopsia.

Indexed as

Cardiac Surgical ProceduresDeliriumGastrointestinal MicrobiomeAdultAgedAged, 80 and overFecesFemaleHumansMaleMiddle AgedPostoperative PeriodProspective StudiesYoung AdultCardiac surgeryDeliriumGut–brain axisMicrobiota

Identifiers

PMID33081782
PMCPMC7576870
OpenAlexW3093724080

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.