Evidence map›Paper›PMID 33187477›Full record

Observational studyBMC anesthesiology2020

Preoperative sedentary behavior is neither a risk factor for perioperative neurocognitive disorders nor associated with an increase in peripheral inflammation, a prospective observational cohort study.

Sarah Saxena, Christopher Rodts, Vincent Nuyens, Juliette Lazaron, Victoria Sosnowski, Franck Verdonk, Laurence Seidel, Adelin Albert, Jean Boogaerts, Veronique Kruys and 2 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC anesthesiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03805685 (The Influence of Preoperative Risk Factors on Perioperative Neurocognitive Disorders in Patients Scheduled for Non-cardiac Surgery), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 30% 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.

NCT03805685 completednot on this map

The Influence of Preoperative Risk Factors on Perioperative Neurocognitive Disorders in Patients Scheduled for Non-cardiac Surgery

TypeobservationalSponsorUniversité Libre de BruxellesRan2019 to 2019Enrolled38ConditionsCognitive ChangeArmsNon-Cardiac Surgery
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
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

12 authors at 4 institutions in 3 countries.

Sarah SaxenaDepartment of Anesthesia, University Hospital Center (CHU de Charleroi), Charleroi, Belgium.
Christopher RodtsDepartment of Anesthesia, University Hospital Center (CHU de Charleroi), Charleroi, Belgium.
Vincent NuyensLaboratory of Experimental Medicine (ULB unit 222), University Hospital Center (CHU de Charleroi), Charleroi, Belgium.
Juliette LazaronDepartment of Anesthesia, University Hospital Center (CHU de Charleroi), Charleroi, Belgium.
Victoria SosnowskiDepartment of Anesthesia, University Hospital Center (CHU de Charleroi), Charleroi, Belgium.
Franck VerdonkDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Laurence SeidelDepartment of Biostatistics, University Hospital of Liège, Liège, Belgium.
Adelin AlbertDepartment of Biostatistics, University Hospital of Liège, Liège, Belgium.
Jean BoogaertsDepartment of Anesthesia, University Hospital Center (CHU de Charleroi), Charleroi, Belgium.
Veronique KruysLaboratory of Molecular Biology of the Gene, Department of Molecular Biology, ULB Immunology Research Center (UIRC), Free University of Brussels (ULB), Gosselies, Belgium.
Mervyn MazeDepartment of Anesthesia and Perioperative Care, Center for Cerebrovascular Research, UCSF, San Francisco, CA, USA.
Joseph VamecqInserm, CHU Lille, Univ Lille, Department of Biochemistry and Molecular Biology, Laboratory of Hormonology, Metabolism-Nutrition & Oncology (HMNO), Center of Biology and Pathology (CBP) Pierre-Marie Degand, CHRU Lille, EA 7364 RADEME, University of North France, Lille, France. joseph.vamecq@inserm.fr.ORCID 0000-0002-4089-7663
Grand Charleroi Hospital · BEUniversity of Liège · BEInserm · FRStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical interventions result in a postoperative rise in circulating inflammatory cytokines and high molecular group box protein 1 (HMGB1). Herein, the impact of a sedentary lifestyle and other age-related factors on the development of perioperative neurocognitive disorders (PND) following non-cardiac surgical procedures was assessed in an older (55-75 years-old) surgical population.

methodsPrior to surgery, patients were asked questions regarding their sedentary behavior and daily habits. They also passed the Mini Mental State Examination (MMSE) and their blood circulating interleukin 6 (IL-6) and HMGB1 levels were assayed by ELISA. IL-6 and HMGB1 measurements were repeated respectively 6 and 24 h after surgery. MMSE was re-evaluated 6 weeks and whenever possible 3 months after surgery.

resultsThirty-eight patients were enrolled in the study from January until July 2019. The study identified self-sufficiency, multilinguism, and overall health score on the geriatric depression scale, as protectors against PND. No other demographic (age, sex), environmental (solitary/non-solitary housing, professional and physical activities, smoking, alcohol drinking), comorbidity (antipsychotic drug uptake, diabetic state) and type of surgery (orthopedic, general, genitourinary) influenced the development of PND. Although some factors (surgery type and age) influenced the surgery-induced rise in the circulating IL-6 levels, they did not impact HMGB1.

conclusionInflammaging, reflected by the greater increment of surgery-induced IL-6 in patients with advanced age, was present. As trauma-induced release of HMGB1 was not similarly affected by age, we surmise that HMGB1, rather than circulating cytokines, is the key driver of the trauma-induced inflammatory cascade leading to PND.

trial registrationClinicaltrials.gov identifier: NCT03805685 .

Indexed as

Preoperative PeriodSedentary BehaviorAgedBelgiumCohort StudiesFemaleGeriatric AssessmentHumansInflammationMaleMiddle AgedNeurocognitive DisordersProspective StudiesCognitionHigh molecular group box 1InflammationInterleukin-6Perioperative neurocognitive disorders

Identifiers

PMID33187477
PMCPMC7666527
OpenAlexW3104462658

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.