Evidence map›Paper›PMID 36335219›Full record

ArticleSurgery today2023

Incidence and risk factors of postoperative delirium after pancreatic cancer surgery: a retrospective study.

Bao Zhao, Hong-Sheng Ji, Chun-Yang Xu, De-Jun Li, Zhi-Qun Xing, Bin Liu, Yu Han, Wen-Jun Xia, Li-Hui Han

Abstract read
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In one paragraph

Article in Surgery today, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 7 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

9 authors at 2 institutions in 1 country.

Bao ZhaoDepartment of Critical Care Medicine Ward III, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 of JingwuWeiqi Street, Huaiyin District, Jinan, 250021, China.
Hong-Sheng JiDepartment of Critical Care Medicine Ward III, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 of JingwuWeiqi Street, Huaiyin District, Jinan, 250021, China. jihongsheng18@163.com.
Chun-Yang XuDepartment of Critical Care Medicine Ward III, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 of JingwuWeiqi Street, Huaiyin District, Jinan, 250021, China.
De-Jun LiDepartment of Critical Care Medicine Ward III, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 of JingwuWeiqi Street, Huaiyin District, Jinan, 250021, China.
Zhi-Qun XingDepartment of Critical Care Medicine Ward III, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 of JingwuWeiqi Street, Huaiyin District, Jinan, 250021, China.
Bin LiuDepartment of Critical Care Medicine Ward III, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 of JingwuWeiqi Street, Huaiyin District, Jinan, 250021, China.
Yu HanDepartment of Critical Care Medicine Ward III, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 of JingwuWeiqi Street, Huaiyin District, Jinan, 250021, China.
Wen-Jun XiaDepartment of Critical Care Medicine Ward III, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 of JingwuWeiqi Street, Huaiyin District, Jinan, 250021, China.
Li-Hui HanDepartment of Critical Care Medicine Ward III, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 of JingwuWeiqi Street, Huaiyin District, Jinan, 250021, China.
Shandong Provincial Hospital · CNShandong First Medical University · CN

Funding

Shandong Province Focuses on Research and Development plan 2015GGH318009
6 · The paper itself

Abstract

purposePostoperative delirium (POD) commonly occurs after major abdominal surgery and is associated with increased morbidity and mortality. There have been many studies on the relationship between POD and various surgeries, but research on POD after pancreatic cancer surgery is limited. The aim of this study was to identify the incidence and risk factors of POD after pancreatic cancer surgery.

methodsThe subjects of this retrospective analysis were 196 patients who were transferred for postoperative care after pancreatic cancer surgery, to a 12-bed critical care medicine ward at Shandong Provincial Hospital, affiliated with Shandong First Medical University, between January 2015 and December 2019. The patients were divided according to whether they suffered POD into a delirium group and a non-delirium group. Delirium was assessed using the Confusion Assessment Method for the Intensive Care Unit and two independent medical practitioners analyzed all the data. Univariate and multiple logistic regression analyses were performed.

resultsThe overall delirium incidence was 20.41%, which increased to 29.03% for patients aged ≥ 70 years. POD was associated with age, smoking, the American Society of Anesthesiologists classification, the Acute Physiology and Chronic Health Evaluation II score, and the TNM stage of the cancer. The variables concerning sex, drinking, hypertension, a history of cerebral disease, surgery type, operation time, amount of bleeding, and the intraoperative use of dexmedetomidine did not differ significantly between the two groups. There was no significant difference in the length of ICU stay, with the exclusion of long-term stay for complications, between the groups, but POD tended to prolong the postoperative hospital stay and increase the risk of mortality. There was also a gradual decline in the incidence of POD between 2015 and 2019, especially from 2015 to 2018, after preventive measures were implemented.

conclusionPOD is related to many risk factors and worthy of attention. Appropriate management can reduce its incidence or at least shorten its duration.

Indexed as

Emergence DeliriumPancreatic NeoplasmsHumansIncidencePostoperative ComplicationsRetrospective StudiesRisk FactorsIncidencePancreatic cancerPostoperative deliriumRisk factors

Identifiers

PMID36335219
OpenAlexW4308260018

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.