Evidence map›Paper›PMID 35982354›Full record

ReviewCanadian journal of anaesthesia = Journal canadien d'anesthesie2022

The potential link between obstructive sleep apnea and postoperative neurocognitive disorders: current knowledge and possible mechanisms.

Michael J Devinney, Keith W VanDusen, Jad M Kfouri, Pallavi Avasarala, Andrew R Spector, Joseph P Mathew, Miles Berger

Open access · bronzeAbstract readReview
In one paragraph

Review in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 12 citations in OpenAlex.

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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 3 institutions in 2 countries.

Michael J DevinneyDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, USA. michael.devinney@duke.edu.ORCID http://orcid.org/0000-0003-3906-6421
Keith W VanDusenDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, USA.
Jad M KfouriFaculty of Medicine, American University of Beirut, Beirut, Lebanon.
Pallavi AvasaralaDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, USA.
Andrew R SpectorDepartment of Neurology, Duke University Medical Center, Durham, NC, USA.
Joseph P MathewDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, USA.
Miles BergerDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, USA.
Duke Medical Center · USAmerican University of Beirut · LBDuke University · US

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI CATHLEEN S COLON-EMERIC, Susan Nicole Hastings · 2006 to 2026
$24.6M
INTEGRATED TRAINING IN ANESTHESIOLOGY RESEARCHT32GM008600 · NIGMS · DUKE UNIVERSITY · PI Miriam Treggiari · 1996 to 2026
$6.6M
Neurocognition and Greater Maintenance of Sinus Rhythm in AF (NOGGIN AF)R01AG074185 · NIA · DUKE UNIVERSITY · PI MATHEW, JOSEPH P, PICCINI, JONATHAN PAUL · 2021 to 2025
$3.7M
Neuro-inflammation in Postoperative Cognitive Dysfunction: CSF and fMRI StudiesK76AG057022 · NIA · DUKE UNIVERSITY · PI BERGER, MILES · 2017 to 2022
$1.4M
The Association of Blood-Brain Barrier Breakdown with Sleep Apnea and Postoperative DeliriumR03AG067976 · NIA · DUKE UNIVERSITY · PI DEVINNEY, MICHAEL JOSEPH · 2021 to 2022
$322k
NIA NIH HHS K76 AG057022NIA NIH HHS P30 AG028716NIA NIH HHS R01 AG074185NIA NIH HHS R03 AG067976NIGMS NIH HHS T32 GM008600
6 · The paper itself

Abstract

purposeThis narrative review examines the current evidence on whether obstructive sleep apnea (OSA) is associated with postoperative delirium (POD) and postoperative cognitive dysfunction (POCD). The mechanisms that could predispose OSA patients to these disorders are also explored. SOURCE: Relevant literature was identified by searching for pertinent terms in Medline PRINCIPAL

findingsSeven studies have investigated the association between OSA and POD, with mixed results. No studies have examined the potential link between OSA and POCD. If these relationships exist, they could be mediated by several mechanisms, including increased neuroinflammation, blood-brain barrier breakdown, cerebrovascular disease, Alzheimer's disease neuropathology, disrupted cerebral autoregulation, sleep disruption, sympathovagal imbalance, and/or disrupted brain bioenergetics.

conclusionThere is very limited evidence that OSA plays a role in postoperative neurocognitive disorders because few studies have been conducted in the perioperative setting. Additional perioperative prospective observational cohort studies and randomized controlled trials of sleep apnea treatment are needed. These investigations should also assess potential underlying mechanisms that could predispose patients with OSA to postoperative neurocognitive disorders. This review highlights the need for more research to improve postoperative neurocognitive outcomes for patients with OSA.

Indexed as

DeliriumSleep Apnea, ObstructiveBlood-Brain BarrierBrainHumansNeurocognitive DisordersObservational Studies as Topicdeliriumneuroinflammationperioperative neurocognitive disorderspostoperative cognitive dysfunctionsleep apnea

Identifiers

PMID35982354
PMCPMC9924301
OpenAlexW4292229936

What OpenQuestion holds

Textmetadata
LicenceTDM
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.