Evidence map›Paper›PMID 36337712›Full record

ArticleFrontiers in aging neuroscience2022

Preoperative hyperglycemia is associated with elevated risk of perioperative ischemic stroke in type 2 diabetic patients undergoing non-cardiovascular surgery: A retrospective cohort study.

Siyuan Liu, Likai Shi, Binbin Wang, Jingsheng Lou, Miao Sun, Huikai Yang, Faqiang Zhang, Min Liu, Yuxiang Song, Weidong Mi and 1 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 11 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

11 authors at 3 institutions in 1 country.

Siyuan LiuDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Likai ShiDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Binbin WangDepartment of Anesthesiology, Affiliated Hospital of Nantong University, Nantong, China.
Jingsheng LouDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Miao SunDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Huikai YangDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Faqiang ZhangDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Min LiuDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Yuxiang SongDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Weidong MiDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Yulong MaDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Chinese PLA General Hospital · CNNantong University · CNCapital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetes mellitus (DM) has been reported to be associated with perioperative stroke, but the effects of preoperative hyperglycemia on the risk of perioperative stroke in diabetic patients undergoing non-cardiovascular surgery remain unclear. This study investigated the association between preoperative hyperglycemia and the risk of perioperative ischemic stroke in type 2 diabetic patients undergoing non-cardiovascular surgery. Methods: This retrospective cohort study screened 27,002 patients with type 2 DM undergoing non-cardiovascular surgery with general anesthesia between January 2008 and August 2019 at The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital. The exposure of interest was preoperative hyperglycemia, defined as a fasting plasma glucose (FPG) ≥ 7 mmol/L. The outcome of interest was a new diagnosis of perioperative ischemic stroke within 30 days after surgery. Residual confounding was minimized by controlling for observable patient and intraoperative factors. Logistic regression was conducted in the total and propensity score matched cohorts. In addition, we stratified patients into six subgroups to investigate whether the association between preoperative hyperglycemia and perioperative ischemic stroke differs in these subgroups. Results: The overall incidence of perioperative ischemic stroke was 0.53% ( Conclusion: Preoperative hyperglycemia is associated with an elevated risk of perioperative stroke in patients with type 2 DM undergoing non-cardiovascular surgery. The effect could be eliminated for patients undergoing neurosurgery, during which specific risk factors should be considered.

Indexed as

general anesthesianon-cardiovascular surgeryperioperative strokepreoperative hyperglycemiatype 2 diabetes mellitus

Identifiers

PMID36337712
PMCPMC9631439
OpenAlexW4306867737

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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.