Evidence map›Paper›PMID 36445369›Full record

ArticleJTCVS open2020

Younger age is associated with greater early neurocognitive decline postcardiopulmonary bypass.

Kelsey Anderson, Olivia Ziegler, Guangbin Shi, Neel Sodha, Ian Ikeda, Jun Feng, Frank Sellke

Open access · goldAbstract read
In one paragraph

Article in JTCVS open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Neurocognitive decline in cardiac surgery patients: What do we know?The Journal of thoracic and cardiovascular surgery · 2023
    Article
  5. 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 3 institutions in 1 country.

Kelsey AndersonAlpert Medical School of Brown University, Providence, RI.
Olivia ZieglerAlpert Medical School of Brown University, Providence, RI.
Guangbin ShiDivision of Cardiothoracic Surgery, Cardiovascular Research Center, Rhode Island Hospital, Providence, RI.
Neel SodhaDivision of Cardiothoracic Surgery, Cardiovascular Research Center, Rhode Island Hospital, Providence, RI.
Ian IkedaAlpert Medical School of Brown University, Providence, RI.
Jun FengDivision of Cardiothoracic Surgery, Cardiovascular Research Center, Rhode Island Hospital, Providence, RI.
Frank SellkeDivision of Cardiothoracic Surgery, Cardiovascular Research Center, Rhode Island Hospital, Providence, RI.
Brown University · USProvidence College · USRhode Island Hospital · US

Funding

Uncoupling of IL-1 beta and VEGF-A Crosstalk Contributes to Impaired Arteriogenesis Response to Ischemia in Chronic Diabetes MellitusP20GM103652 · NIGMS · OCEAN STATE RESEARCH INSTITUTE, INC. · PI ZHOU, YANG · 2013 to 2022
$21.3M
Effect of Cardioplegia and Cardiopulmonary Bypass on Coronary Microvascular ReactivityR01HL046716 · NHLBI · RHODE ISLAND HOSPITAL · PI SELLKE, FRANK W · 1997 to 2023
$8.5M
Vascular Dysfunction in Myocardial Ischemia and Metabolic SyndromeR01HL128831 · NHLBI · RHODE ISLAND HOSPITAL · PI SELLKE, FRANK W, USHEVA-SIMIDJIYSKA, ANNY · 2016 to 2025
$5.7M
SKca/IKca Channel Activation and Endothelial Protection During Cardiac SurgeryR01HL136347 · NHLBI · RHODE ISLAND HOSPITAL · PI FENG, JUN · 2017 to 2020
$1.9M
Metabolic Regulation of SKCa/IKCa Channels and Endothelial FunctionR01HL127072 · NHLBI · RHODE ISLAND HOSPITAL · PI FENG, JUN · 2016 to 2019
$1.5M
NHLBI NIH HHS R01 HL046716NHLBI NIH HHS R01 HL127072NHLBI NIH HHS R01 HL128831NHLBI NIH HHS R01 HL136347NIGMS NIH HHS P20 GM103652
6 · The paper itself

Abstract

Objective: To examine the effect of aging on postoperative neurocognitive decline (NCD) in cardiac surgery patients. Methods: Patients undergoing coronary artery bypass graft or open aortic valve replacement were administered the Repeatable Battery for the Assessment of Neuropsychological Status at preoperative, postoperative day (POD) 4, and 1 month. Blood samples were collected at preoperative, 6 hours postoperative, and POD 4. Plasma interleukin (IL)-6, tumor necrosis factor-α, and C-reactive protein (CRP) levels were quantified. Quality of life was measured with the 12-Item Short Form Health Survey. Data were analyzed using paired ratio and unpaired Results: NCD occurred in 15 patients (N = 33, 45.5%). Dichotomized at age extremes (<60 years; ≥75 years), youngest patients had greater preoperative scores ( Conclusions: Younger patients tend to have better cognitive scores before surgery but scores at POD 4 are similar to those of older patients, with this trend disappearing at 1 month. IL-6 and CRP upregulation is greater in younger patients, suggesting that a robust perioperative inflammatory response may be associated with reduction in neurocognitive function, and this may be greater in younger versus older patients.

Indexed as

ageCABG, coronary artery bypass graftingcardiothoracic surgeryCPBCPB, cardiopulmonary bypassCP, cardioplegiaCRP, C-reactive proteinIL, interleukininflammationMCS, mental component summaryNCD, neurocognitive declineneurocognitive declinePCS, physical component summaryPOD, postoperative dayQOL, quality of lifeRBANS, Repeatable Battery for the Assessment of Neuropsychological StatusSF-12, 12-Item Short Form Health SurveyTNF-α, tumor necrosis factor-α

Identifiers

PMID36445369
PMCPMC9665169
OpenAlexW3010026730

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.