Evidence map›Paper›PMID 37735216›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2024

Comprehensive geriatric assessment to predict adverse events in elderly patients undergoing posterior lumbar fusion surgery.

Peng Cui, Ting Liu, Zheng Wang, Shuaikang Wang, Peng Wang, Chao Kong, Shibao Lu

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In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Lumbar spine fusion in elderly patients: risk factors for failure in achieving favorable outcomes.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
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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

7 authors at 1 institution in 1 country.

Peng Cui *Department of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China.ORCID 0000-0002-1636-4832
Ting Liu *Department of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China.
Zheng Wang *Department of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China.
Shuaikang WangDepartment of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China.
Peng WangDepartment of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China.
Chao KongDepartment of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China. kong988500@163.com.
Shibao LuDepartment of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China. spinelu@xwhosp.org.
Capital Medical University · CN

Funding

Beijing Hospitals Authority Clinical Medicine Development of Special Funding Support XMLX202116Beijing Hospitals Authority's Ascent Plan DFL20190802
6 · The paper itself

Abstract

purposeAlthough comprehensive geriatric assessment (CGA) has been used widely, its impact on adverse events in elderly patients has not been fully examined. The present study aimed to investigate the relationships between subcomponents of CGA and adverse events (AEs) in elderly patients undergoing posterior lumbar fusion surgery.

methodsA total of 242 eligible elderly patients enrolled. Our CGA included activities of daily living, instrumental activities of daily living, nutritional status, cardiac function, pulmonary function, renal function, frailty, cognition, anxiety, depression, delirium, chronic pain score, comorbidity and polypharmacy. Comprehensive complication index was used to summarize postoperative complications and its severity. Logistic regression was performed to determine the relationships between subcomponents of a CGA and postoperative AEs.

resultsPresent study found that female were more vulnerable to have AEs. Postoperative major AEs were associated with delirium (odds ratio (OR): 4.302, 95% confidence interval (CI) 1.720-10.761, p = 0.002), nutritional status (OR: 3.030, 95%CI 1.218-7.541, p = 0.017), cognitive impairment (OR: 4.122, 95%CI 1.179-14.407, p = 0.027), Charlson comorbidity index (CCI) (OR: 4.800, 95%CI 1.852-12.440, p = 0.001) and severe dependent (OR: 3.772, 95%CI 1.116-9.841, p = 0.007). Further analysis showed that delirium (OR: 2.824, 95%CI 1.068-7.467, p = 0.036) and CCI (OR: 3.221, 95%CI 1.184-8.766, p = 0.022) were independently related to major AEs.

conclusionsThese results indicate that preoperative screening preoperative delirium, cognitive, nutrition and CCI are essential to prevent postoperative major AEs of the surgical elderly.

Indexed as

DeliriumFrailtyActivities of Daily LivingAgedFemaleGeriatric AssessmentHumansPostoperative ComplicationsAdverse eventsComprehensive geriatric assessmentElderly patientsLumbar fusion

Identifiers

PMID37735216
OpenAlexW4386916245

What OpenQuestion holds

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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.