Evidence map›Paper›PMID 37712803›Full record

ArticleCritical care science

Biomarkers of neuropsychiatric dysfunction in intensive care unit survivors: a prospective cohort study.

Franciani Rodrigues da Rocha, Renata Casagrande Gonçalves, Gabriele da Silveira Prestes, Danusa Damásio, Amanda Indalécio Goulart, Andriele Aparecida da Silva Vieira, Monique Michels, Maria Inês da Rosa, Cristiane Ritter, Felipe Dal-Pizzol

Abstract read
In one paragraph

Article in Critical care science. 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
–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

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

  1. Pooled it
  2. Article
  3. Article
  4. 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

10 authors.

Franciani Rodrigues da RochaLaboratory of Translational Biomedicine, Postgraduate Program in Health Sciences, Universidade do Extremo Sul Catarinense - Criciúma (SC), Brazil.ORCID http://orcid.org/0000-0002-0409-2163
Renata Casagrande GonçalvesLaboratory of Experimental Pathophysiology, Postgraduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense - Criciúma (SC), Brazil.ORCID http://orcid.org/0000-0002-7133-3596
Gabriele da Silveira PrestesLaboratory of Translational Biomedicine, Postgraduate Program in Health Sciences, Universidade do Extremo Sul Catarinense - Criciúma (SC), Brazil.ORCID http://orcid.org/0000-0003-0328-753X
Danusa DamásioResearch Centre, Hospital São José - Criciúma (SC), Brazil.ORCID http://orcid.org/0000-0002-7934-5348
Amanda Indalécio GoulartLaboratory of Experimental Pathophysiology, Postgraduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense - Criciúma (SC), Brazil.
Andriele Aparecida da Silva VieiraLaboratory of Experimental Pathophysiology, Postgraduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense - Criciúma (SC), Brazil.ORCID http://orcid.org/0000-0001-6607-5353
Monique MichelsLaboratory of Experimental Pathophysiology, Postgraduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense - Criciúma (SC), Brazil.ORCID http://orcid.org/0000-0001-8440-1976
Maria Inês da RosaLaboratory of Translational Biomedicine, Postgraduate Program in Health Sciences, Universidade do Extremo Sul Catarinense - Criciúma (SC), Brazil.ORCID http://orcid.org/0000-0001-6124-2538
Cristiane RitterLaboratory of Experimental Pathophysiology, Postgraduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense - Criciúma (SC), Brazil.ORCID http://orcid.org/0000-0002-1891-1561
Felipe Dal-PizzolLaboratory of Experimental Pathophysiology, Postgraduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense - Criciúma (SC), Brazil.ORCID http://orcid.org/0000-0003-3003-8977

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess factors associated with long-term neuropsychiatric outcomes, including biomarkers measured after discharge from the intensive care unit.

methodsA prospective cohort study was performed with 65 intensive care unit survivors. The cognitive evaluation was performed through the Mini-Mental State Examination, the symptoms of anxiety and depression were evaluated using the Hospital Anxiety and Depression Scale, and posttraumatic stress disorder was evaluated using the Impact of Event Scale-6. Plasma levels of amyloid-beta (1-42) [Aβ (1-42)], Aβ (1-40), interleukin (IL)-10, IL-6, IL-33, IL-4, IL-5, tumor necrosis factor alpha, C-reactive protein, and brain-derived neurotrophic factor were measured at intensive care unit discharge.

resultsOf the variables associated with intensive care, only delirium was independently related to the occurrence of long-term cognitive impairment. In addition, higher levels of IL-10 and IL-6 were associated with cognitive dysfunction. Only IL-6 was independently associated with depression. Mechanical ventilation, IL-33 levels, and C-reactive protein levels were independently associated with anxiety. No variables were independently associated with posttraumatic stress disorder.

conclusionCognitive dysfunction, as well as symptoms of depression, anxiety, and posttraumatic stress disorder, are present in patients who survive a critical illness, and some of these outcomes are associated with the levels of inflammatory biomarkers measured at discharge from the intensive care unit.

Indexed as

Interleukin-33Interleukin-6BiomarkersC-Reactive ProteinHumansIntensive Care UnitsProspective StudiesSurvivorsBiomarkersC-Reactive ProteinInterleukin-33Interleukin-6

Identifiers

PMID37712803
PMCPMC10406403

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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.