Evidence map›Paper›PMID 34981211›Full record

ArticleJournal of anesthesia2022

Cardiac surgery improves the postoperative frailty score of frail patients.

Koya Shimakura, Kimito Minami, Kenji Yoshitani, Yoshihiko Ohnishi, Hiroki Iida

Abstract read
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In one paragraph

Article in Journal of anesthesia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 44% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. Article
  3. Observational
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

5 authors at 2 institutions in 1 country.

Koya ShimakuraDepartment of Anesthesiology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Kimito MinamiDepartment of Surgical Intensive Care, National Cerebral and Cardiovascular Center, 6-1 Kishibe Shinmachi, Suita, Osaka, 564-8565, Japan. k.minami@ncvc.go.jp.ORCID 0000-0002-1659-9324
Kenji YoshitaniDepartment of Anesthesiology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Yoshihiko OhnishiDepartment of Anesthesiology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Hiroki IidaDepartment of Anesthesiology and Pain Medicine, Gifu University Graduate School of Medicine, Gifu, Japan.
National Cerebral and Cardiovascular Center · JPGifu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac surgery in frail patients has been reported to be associated with increased mortality and morbidity but may improve functional status of frail patients. Few studies have investigated the impact of cardiac surgery on the trajectory of postoperative frailty. We hypothesized that cardiac surgery in frail patients would improve frailty postoperatively.

methodThis study included 71 patients over 65 years old who were scheduled for cardiac surgery via sternotomy or thoracotomy. Frailty was prospectively evaluated using the Kihon Checklist (KCL) at 1 and 3 months postoperatively. Patients were divided into three groups based on the preoperative KCL score: nonfrail, prefrail, and frail. The interaction between the degree of preoperative frailty and the trajectory of postoperative KCL scores was assessed.

resultsThe KCL score changed significantly over time (P < 0.001), and the KCL score trajectory differed significantly according to the degree of preoperative frailty (P for interaction = 0.003). In the frail group, the KCL score was significantly lower 3 months postoperatively than preoperatively (median 8, interquartile range [5, 9] versus median 9, interquartile range (9, 13), P = 0.029).

conclusionThe trajectory of postoperative KCL scores differed significantly depending on the degree of preoperative frailty. At 3 months after cardiac surgery, the KCL score of frail patients was significantly improved, while that in nonfrail patients was significantly deteriorated.

Indexed as

Cardiac Surgical ProceduresFrailtyAgedFrail ElderlyGeriatric AssessmentHumansPostoperative PeriodCardiac surgeryElderlyFrailtyKihon Checklist

Identifiers

PMID34981211
OpenAlexW4206245903

What OpenQuestion holds

Textmetadata
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.