Evidence map›Paper›PMID 33088271›Full record

ArticleFrontiers in aging neuroscience2020

Surgery, Anesthesia and Intensive Care Environment Induce Delirium-Like Behaviors and Impairment of Synaptic Function-Related Gene Expression in Aged Mice.

Meghana Illendula, Hari Prasad Osuru, Bianca Ferrarese, Navya Atluri, Elzbieta Dulko, Zhiyi Zuo, Nadia Lunardi

Open access · goldAbstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
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

21 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Animal models of delirium: a narrative review.Translational psychiatry · 2026
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  11. Extracellular Vesicle MicroRNAs as Predictive Biomarkers in Postoperative Delirium After Spine Surgery: Preliminary Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
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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

7 authors at 2 institutions in 2 countries.

Meghana IllendulaDepartment of Anesthesiology, University of Virginia Health System, Charlottesville, VA, United States.
Hari Prasad OsuruDepartment of Anesthesiology, University of Virginia Health System, Charlottesville, VA, United States.
Bianca FerrareseDepartment of Anesthesiology and Intensive Care Medicine, University of Padova, Padua, Italy.
Navya AtluriDepartment of Anesthesiology, University of Virginia Health System, Charlottesville, VA, United States.
Elzbieta DulkoDepartment of Anesthesiology, University of Virginia Health System, Charlottesville, VA, United States.
Zhiyi ZuoDepartment of Anesthesiology, University of Virginia Health System, Charlottesville, VA, United States.
Nadia LunardiDepartment of Anesthesiology, University of Virginia Health System, Charlottesville, VA, United States.
University of Virginia Health System · USUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo establish a clinically relevant mouse model of perioperative delirium.

methodsAged C57BL/6J mice were tested at baseline in the Y-maze novel arm preference, buried food, simple discrimination task of the attentional set-shifting test, and open field tests. They were subsequently randomized to insult (anesthesia, surgery, and Intensive Care Unit environment) or control group. Insult-exposed mice received laparotomy under sevoflurane anesthesia, propofol sedation and exposure to intermittent lights, sounds and cage shaking. Controls did not receive anesthesia, surgery, or intensive care environment. All mice were tested in the Y-maze novel arm preference, buried food, attentional, and open field tests at the end of intensive care environment (0 h) and every 6 h up to 24 h. Mouse hippocampi were collected at 24 h for gene expression analyses.

resultsSurgery, anesthesia and Intensive Care environment decreased the entries in the Y-maze novel arm at 0 h (

conclusionSurgery, anesthesia and Intensive Care environment impaired mouse behaviors that depend on attention, memory, and thought organization. The changes were acute in onset and fluctuating in time. Mice with delirium exhibited decreased expression of key synaptic function-related genes. The behavioral changes induced by anesthesia, surgery, and Intensive Care environment in aged mice are consistent with the clinical features of human delirium, and support the use of this animal model for future mechanistic studies of perioperative delirium.

Indexed as

attentiondeliriumdisorganized thinkingIntensive Care Unitmemoryneurotrophic receptor tyrosine kinase 1syntaxin 1asynuclein alpha

Identifiers

PMID33088271
PMCPMC7544741
OpenAlexW3088816002

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.