Evidence map›Paper›PMID 36212043›Full record

ArticleFrontiers in aging neuroscience2022

Preoperative homocysteine modifies the association between postoperative C-reactive protein and postoperative delirium.

Xin Ma, Xinchun Mei, Tianyi Tang, Meijuan Wang, Xiaoyi Wei, Hailin Zheng, Jing Cao, Hui Zheng, Kathryn Cody, Lize Xiong and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  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

13 authors at 6 institutions in 2 countries.

Xin MaDepartment of Psychiatry, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Xinchun MeiDepartment of Psychiatry, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Tianyi TangDepartment of Psychiatry, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Meijuan WangDepartment of Psychiatry, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Xiaoyi WeiDepartment of Psychiatry, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Hailin ZhengDepartment of Psychiatry, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Jing CaoAnesthesia and Brain Research Institute, Tongji University School of Medicine, Shanghai, China.
Hui ZhengMassachusetts General Hospital Biostatistics Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States.
Kathryn CodyAnesthesia Research Center, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States.
Lize XiongDepartment of Anesthesiology and Translational Research Institute of Brain and Brain-Like Intelligence, Shanghai Fourth People's Hospital of Tongji University School of Medicine, Shanghai, China.
Edward R MarcantonioDivisions of General Medicine and Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States.
Zhongcong XieGeriatric Anesthesia Research Unit, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, United States.
Yuan ShenAnesthesia and Brain Research Institute, Tongji University School of Medicine, Shanghai, China.
Tongji University · CNShanghai Tenth People's Hospital · CNHarvard University · USMassachusetts General Hospital · USBeth Israel Deaconess Medical Center · USShanghai Mental Health Center · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Homocysteine and C-reactive protein (CRP) may serve as biomarkers of postoperative delirium. We set out to compare the role of blood concentration of homocysteine versus CRP in predicting postoperative delirium in patients. Materials and methods: In this prospective observational cohort study, the plasma concentration of preoperative homocysteine and postoperative CRP was measured. Delirium incidence and severity within 3 days postoperatively were determined using the Confusion Assessment Method and Confusion Assessment Method-Severity algorithm. Results: Of 143 participants [69% female, median (interquartile range, 25th-75th) age of 71 (67-76) years] who had knee or hip surgery under general anesthesia, 44 (31%) participants developed postoperative delirium. Postoperative plasma concentration of CRP was associated with postoperative delirium incidence [adjusted odds ratio (OR) per one standard deviation change in CRP: 1.51; 95% Confidence Interval (CI): 1.05, 2.16; Conclusion: Pending validation studies, these data suggest that preoperative plasma concentration of homocysteine modifies the established association between postoperative plasma concentration of CRP and postoperative delirium incidence.

Indexed as

anesthesiaC-reactive proteinhomocysteinepostoperative deliriumsurgery

Identifiers

PMID36212043
PMCPMC9532549
OpenAlexW4296739196

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.