Evidence map›Paper›PMID 33888591›Full record

Observational studyOpen heart2021

Does postoperative cognitive decline after coronary bypass affect quality of life?

Fredrike Blokzijl, Frederik Keus, Saskia Houterman, Willem Dieperink, Iwan C C van der Horst, Michiel F Reneman, Anthony R Absalom, Massimo A Mariani

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

Observational study in Open heart, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03774342 (The Influence of Cognitive Decline on Quality of Life After Coronary Bypass), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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.

NCT03774342 unknown statusnot on this map

The Influence of Cognitive Decline on Quality of Life After Coronary Bypass

TypeobservationalSponsorUniversity Medical Center GroningenRan2018 to 2020Enrolled140ConditionsCoronary Artery Bypass, Cognitive DysfunctionArmsCoronary Artery Bypass Grafting
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Postoperative cognitive dysfunction: a concept analysis.Aging clinical and experimental research · 2024
    Review
  5. Article
  6. Observational
  7. 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

8 authors at 3 institutions in 1 country.

Fredrike BlokzijlDepartment of Cardiothoracic Surgery, University Medical Centre Groningen, Groningen, The Netherlands f.zwiers-blokzijl@umcg.nl.ORCID 0000-0002-4120-761X
Frederik KeusDepartment of Critical Care, University Medical Centre Groningen, Groningen, The Netherlands.
Saskia HoutermanDepartment of Education and Research, Catharina Hospital, Eindhoven, The Netherlands.
Willem DieperinkDepartment of Critical Care, University Medical Centre Groningen, Groningen, The Netherlands.
Iwan C C van der HorstDepartment of Intensive Care, Maastricht University Medical Centre, Maastricht, The Netherlands.
Michiel F RenemanDepartment of Rehabilitation Medicine, University Medical Centre Groningen, Groningen, The Netherlands.
Anthony R AbsalomDepartment of Anesthesiology, University Medical Centre Groningen, Groningen, The Netherlands.
Massimo A MarianiDepartment of Cardiothoracic Surgery, University Medical Centre Groningen, Groningen, The Netherlands.
University Medical Center Groningen · NLMaastricht University Medical Centre · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to explore the influence of coronary artery bypass grafting (CABG) on both postoperative cognitive dysfunction and quality of life (QoL) and the association between the two patient-related outcomes.

methodsIn a prospective, observational cohort study, patients with elective, isolated CABG were included. Cognitive function was assessed using the Cogstate computerised cognitive test battery preoperatively, 3 days and 6 months after surgery. QoL was measured preoperatively and at 6 months using the RAND-36 questionnaire including the Physical Component Score (PCS) and the Mental Component Score (MCS). Regression analysis, with adjustment for confounders, was used to evaluate the association between postoperative cognitive dysfunction and QoL.

resultsA total of 142 patients were included in the study. Evidence of persistent cognitive dysfunction was observed in 33% of patients after 6 months. At 6 months, the PCS had improved in 59% and decreased in 21% of patients, and the MCS increased in 49% and decreased in 29%. Postoperative cognitive changes were not associated with QoL scores.

conclusionsPostoperative cognitive dysfunction and decreased QoL are common 6 months after surgery, although cognitive function and QoL were found to have improved in many patients at 6 months of follow-up. Impaired cognitive function is not associated with impaired QoL at 6 months. TRIAL REGISTRATION NUMBER: NCT03774342.

Indexed as

Quality of LifeCognitionCoronary Artery BypassCoronary Artery DiseaseFemaleFollow-Up StudiesHumansMaleMiddle AgedNeuropsychological TestsPostoperative Cognitive ComplicationsProspective StudiesSurveys and Questionnairesatherosclerosiscoronary artery bypasshealthcareoutcome assessment

Identifiers

PMID33888591
PMCPMC8070880
OpenAlexW3156802987

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.