Evidence map›Paper›PMID 36324722›Full record

ArticleCerebral circulation - cognition and behavior2021

The role of acetylcholinesterase and butyrylcholinesterase activity in the development of delirium in acute stroke.

Lara Caeiro, Filipa Novais, Carlota Saldanha, Teresa Pinho E Melo, Patrícia Canhão, José M Ferro

Abstract read
In one paragraph

Article in Cerebral circulation - cognition and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Risk-predicting and screening tools of post-stroke delirium: a narrative review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
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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

6 authors.

Lara CaeiroInstitute of Molecular Medicine, Faculty of Medicine of the University of Lisbon, Portugal.
Filipa NovaisPsychiatry Service, Department of Neurosciences, Hospital de Santa Maria/CHLN, Portugal.
Carlota SaldanhaInstituto de Bioquímica, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Portugal.
Teresa Pinho E MeloNeurology Service, Department of Neurosciences, Hospital de Santa Maria/CHLN, Portugal.
Patrícia CanhãoNeurology Service, Department of Neurosciences, Hospital de Santa Maria/CHLN, and Institute of Molecular Medicine, University of Lisbon, Portugal.
José M FerroNeurology Service, Department of Neurosciences, Hospital de Santa Maria/CHLN, and Institute of Molecular Medicine, University of Lisbon, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Our study aimed to test whether plasma acetylcholinesterase and butyrylcholinesterase enzyme activity were related to the presence and intensity of delirium in acute stroke patients. Methods: We carried out a matched (age and gender) case-control study, in a sample of consecutive patients with an acute infarct or intracerebral haemorrhage (≤7 days). We assessed delirium using the DSM-5 criteria and the Delirium Rating Scale, and we measured plasma acetylcholinesterase and butyrylcholinesterase enzyme activity after the patient's admission in the stroke unit and before hospital discharge. Mantel-Haenszel's chi-square was used to test bivariate associations between cases (delirious patients) and controls (non-delirious patients). Results: At admission in the stroke unit, cases and controls did not present significant differences in plasma acetylcholinesterase or butyrylcholinesterase activity. At hospital discharge (18 cases and 21 controls) patients who have had delirium at admission had higher levels of butyrylcholinesterase activity. Butyrylcholinesterase activity may secondarily increase due to the inflammatory process associated with neuronal dysfunction in delirium patients.

Indexed as

AcetylcholinesteraseACh, acetylcholineAChE, acetylcholinesteraseAcuteBChE, butyrylcholinesteraseButyrylcholinesteraseDeliriumGCS, Glasgow Coma ScaleIGSAA, Global Subjective Appreciation of AtrophyINFARMED, Instituto Nacional da Fármacia e do MedicamentoNIHSS, Neurological Institute Health Stroke ScaleStroke

Identifiers

PMID36324722
PMCPMC9616375

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.