Evidence map›Paper›PMID 36183105›Full record

Trial reportJournal of cardiothoracic surgery2022

Prediction model for delirium in patients with cardiovascular surgery: development and validation.

Yanghui Xu, Yunjiao Meng, Xuan Qian, Honglei Wu, Yanmei Liu, Peipei Ji, Honglin Chen

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cardiothoracic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06685263 (Development of a Perioperative Delirium Prediction Model in Patients Undergoing Cardiovascular Surgery), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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.

NCT06685263 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Development of a Perioperative Delirium Prediction Model in Patients Undergoing Cardiovascular Surgery

Typeobservational_patient_registrySponsorKubra GunesRan2024 to 2026Enrolled770ConditionsCardiovascular SurgeryArmsGroup 1, Group 2
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Observational
  5. Review
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. 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

7 authors at 2 institutions in 1 country.

Yanghui Xu *Departments of Cardiovascular Surgery Intensive Care Unit, Affiliated Hospital of Nantong University, Nantong, China.
Yunjiao Meng *Departments of Cardiovascular Surgery Intensive Care Unit, Affiliated Hospital of Nantong University, Nantong, China.
Xuan QianDepartments of Cardiovascular Surgery Intensive Care Unit, Affiliated Hospital of Nantong University, Nantong, China.
Honglei WuDepartments of Cardiovascular Surgery Intensive Care Unit, Affiliated Hospital of Nantong University, Nantong, China.
Yanmei LiuDepartments of Cardiovascular Surgery Intensive Care Unit, Affiliated Hospital of Nantong University, Nantong, China.
Peipei JiDepartments of Cardiovascular Surgery Intensive Care Unit, Affiliated Hospital of Nantong University, Nantong, China.
Honglin ChenSchool of Public Health, Nantong University, No.9, Sik Yuan Road, Nantong, China. honglinyjs@126.com.
Affiliated Hospital of Nantong University · CNNantong University · CN

Funding

Affiliated Hospital of Nantong University Tfh 2106National Natural Science Fund 82000093Special research project of Nantong Health Commission MA2021006Three-Side Innovation Projects for Aquaculture in Jiangsu Province SJCX21_1479
6 · The paper itself

Abstract

backgroundThe aim of this study was to construct a nomogram model for discriminating the risk of delirium in patients undergoing cardiovascular surgery.

methodsFrom January 2017 to June 2020, we collected data from 838 patients who underwent cardiovascular surgery at the Affiliated Hospital of Nantong University. Patients were randomly divided into a training set and a validation set at a 5:5 ratio. A nomogram model was established based on logistic regression. Discrimination and calibration were used to evaluate the predictive performance of the model.

resultsThe incidence of delirium was 48.3%. A total of 389 patients were in the modelling group, and 449 patients were in the verification group. Logistic regression analysis showed that CPB duration (OR [Formula: see text] 1.004, 95% CI: 1.001-1.008, [Formula: see text] 0.018), postoperative serum sodium (OR [Formula: see text] 1.112, 95% CI: 1.049-1.178, [Formula: see text] 0.001), age (OR [Formula: see text] 1.027, 95% CI: 1.006-1.048, [Formula: see text] 0.011), and postoperative MV (OR [Formula: see text] 1.019, 95% CI: 1.008-1.030, [Formula: see text] 0.001) were independent risk factors. The results showed that AUC[Formula: see text] was 0.712 and that the 95% CI was 0.661-0.762. The Hosmer-Lemeshow goodness of fit test showed that the predicted results of the model were in good agreement with the actual situation ([Formula: see text] 6.200, [Formula: see text] 0.625). The results of verification showed that the AUC[Formula: see text] was 0.705, and the 95% CI was 0.657-0.752. The Hosmer-Lemeshow goodness of fit test results were [Formula: see text] 8.653 and [Formula: see text] 0.372, indicating that the predictive effect of the model is good.

conclusionsThe establishment of the model provides accurate and objective assessment tools for medical staff to start preventing postoperative delirium in a purposeful and focused manner when a patient enters the CSICU after surgery.

Indexed as

DeliriumNomogramsHumansIncidenceRetrospective StudiesRisk FactorsSodiumSodiumCalibrationCardiovascular surgeryDeliriumDiscriminationNomogram model

Identifiers

PMID36183105
PMCPMC9526933
OpenAlexW4298620054

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.