Evidence map›Paper›PMID 35915987›Full record

ArticleArchives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists2023

Lower Preoperative Verbal Memory Performance Is Associated with Delirium after Coronary Artery Bypass Graft Surgery: A Prospective Cohort Study.

Jakub Kaźmierski, Piotr Miler, Agnieszka Pawlak, Joanna Woźniak, Emilia Frankowska, Karina Nowakowska, Katarzyna Kuchta, Michał Pazdrak, Katarzyna Woźniak, Radosław Magierski and 2 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-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.

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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. 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

12 authors at 2 institutions in 1 country.

Jakub KaźmierskiDepartment of Old Age Psychiatry and Psychotic Disorders, Medical University of Lodz, Lodz, Poland.
Piotr MilerCentral Clinical Hospital, Medical University of Lodz, Lodz, Poland.
Agnieszka PawlakCentral Clinical Hospital, Medical University of Lodz, Lodz, Poland.
Joanna WoźniakDepartment of Old Age Psychiatry and Psychotic Disorders, Medical University of Lodz, Lodz, Poland.
Emilia FrankowskaDepartment of Old Age Psychiatry and Psychotic Disorders, Medical University of Lodz, Lodz, Poland.
Karina NowakowskaDepartment of Old Age Psychiatry and Psychotic Disorders, Medical University of Lodz, Lodz, Poland.
Katarzyna KuchtaDepartment of Old Age Psychiatry and Psychotic Disorders, Medical University of Lodz, Lodz, Poland.
Michał PazdrakCentral Clinical Hospital, Medical University of Lodz, Lodz, Poland.
Katarzyna WoźniakDepartment of Cardiac Surgery, Central Clinical Hospital, Medical University of Lodz, Lodz, Poland.
Radosław MagierskiDepartment of Old Age Psychiatry and Psychotic Disorders, Medical University of Lodz, Lodz, Poland.
Michał KrejcaDepartment of Cardiac Surgery, Central Clinical Hospital, Medical University of Lodz, Lodz, Poland.
Mirosław WilczyńskiDepartment of Cardiac Surgery, Central Clinical Hospital, Medical University of Lodz, Lodz, Poland.
Medical University of Lodz · PLCentral Clinical Hospital · PL

Funding

Narodowe Centrum Nauki OPUS-11, 2016/21/B/NZ5/00495
6 · The paper itself

Abstract

objectiveCognitive impairment constitutes one of the major risk factors of delirium after coronary artery bypass graft (CABG) surgery; however, it is unclear whether only patients with global cognitive decline are at increased risk for delirium or if individuals with preserved global cognitive functions but impairments in specific cognitive domains are also more vulnerable to developing delirium. Thus, this study aimed to analyze the neurocognitive status of patients scheduled for CABG surgery with the use of an advanced computerized cognitive battery (CNS Vital Signs) and to investigate possible associations between impaired performance in selective cognitive areas and the risk of postoperative delirium development.

methodsThe study enrolled 127 participants with a median age of 67 years (IQR: 63-71). Postoperative delirium developed in 32 (25%) patients.Before surgery, the patients were screened for global cognitive impairment with the use of the Mini-Mental State Examination Test, and the individuals were asked to perform the CNS Vital Signs battery to investigate 12 specific cognitive domains. The Confusion Assessment Method and the Memorial Delirium Assessment Scale were used to screen for a diagnosis of delirium postoperatively.

resultsIn multivariate models, a lower score of verbal memory-assessed preoperatively was independently associated with the risk of postoperative delirium development. Other independent predictors of delirium included more advanced age, gender female, depression, postoperative pyrexia, and the presence of extracorporeal circulation.

conclusionsAs decreased verbal memory constitutes an independent risk factor for postoperative delirium, a verbal memory test may be a useful predictor of postoperative delirium development.

Indexed as

DeliriumEmergence DeliriumAgedCognitionCoronary Artery BypassFemaleHumansMiddle AgedNeuropsychological TestsPostoperative ComplicationsProspective StudiesRisk FactorsCardiovascular diseaseCognitive impairmentCoronary artery bypass graftingDeliriumVerbal memory

Identifiers

PMID35915987
PMCPMC9868524
OpenAlexW4289526196

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.