Evidence map›Paper›PMID 38297396›Full record

Trial reportJournal of orthopaedic surgery and research2024

Effects of conventional nursing in the operating room combined with transcutaneous electrical acupoint stimulation on postoperative cognitive dysfunction after total knee arthroplasty in elderly patients.

Xinxin Wang, Jia Zhou, Gaojiao Zhang

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 4% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Observational
  6. Article
  7. Article
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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

3 authors at 1 institution in 1 country.

Xinxin Wang *Department of Operation Room, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, No. 75 of Jinxiu Roud, Lucheng District, Wenzhou, 325000, Zhejiang, People's Republic of China.
Jia Zhou *Department of Operation Room, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, No. 75 of Jinxiu Roud, Lucheng District, Wenzhou, 325000, Zhejiang, People's Republic of China.
Gaojiao ZhangDepartment of Anesthesiology, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, No. 75 of Jinxiu Roud, Lucheng District, Wenzhou, 325000, Zhejiang, People's Republic of China. zgj18969766733@163.com.
Wenzhou Hospital of Traditional Chinese Medicine · CN

Funding

The science and technology plan project of Wenzhou science and technology bureau Y20180327
6 · The paper itself

Abstract

backgroundTo observe the effects of conventional theatre nursing combined with transcutaneous electrical acupoint stimulation (TEAS) on postoperative cognitive dysfunction (POCD) in elderly total knee arthroplasty (TKA) patients.

methodsForty elderly TKA patients were randomly divided into a conventional nursing (control) group and a TEAS group. Using conventional nursing, TEAS was used to stimulate the "Zusanli" and "Sanyinjiao" in the healthy leg of patients in the TEAS group. All patients received mini-mental (MMSE) scores 1 day before surgery (T0) and 1, 3, and 7 days after surgery (T1, T3, T7). Plasma levels of interleukin-1 (IL-1β), interleukin-6 (IL-6), tumor necrosis factor (TNF-α), and S100β were measured using venous blood samples.

resultsThere were no significant differences in baseline clinical characteristics between the two groups. Compared to T0, the MMSE scores of patients in the control group were significantly reduced at T1 and T3 (P < 0.05). Compared to the control group, the MMSE scores of patients in the TEAS group increased significantly at T3 (P < 0.05). The incidence of POCD in the TEAS group was 10%, lower than in the control group (40%) (P < 0.05). The levels of IL-1β, IL-6, TNF-α and S-100β in patients in the TEAS group were lower than in the control group on days T1, T3 and T7 (P < 0.05).

conclusionConventional intraoperative nursing combined with TEAS can reduce the incidence of POCD. The possible mechanism is related to the reduction of inflammatory response and neuronal injury with TEAS. CLINICAL REGISTRATION NUMBER: ChiCTR2300070281.

Indexed as

Arthroplasty, Replacement, KneePostoperative Cognitive ComplicationsTranscutaneous Electric Nerve StimulationAcupuncture PointsAgedHumansInterleukin-6Operating RoomsTumor Necrosis Factor-alphaInterleukin-6Tumor Necrosis Factor-alphaConventional nursing in operating roomInflammatory factorsPostoperative cognitive dysfunctionS100β proteinTranscutaneous electrical acupoint stimulation

Identifiers

PMID38297396
PMCPMC10832165
OpenAlexW4392787656

What OpenQuestion holds

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LicenceCC BY
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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.