Evidence map›Paper›PMID 38321534›Full record

SynthesisJournal of cardiothoracic surgery2024

Effect of remote ischemic preconditioning on postoperative cognitive dysfunction in adult patients with general anesthesia: a meta-analysis.

Mengnan Han, Yanru Du, Jianli Li, Yi Li, Shuang Han, Chong Li

Open access · goldAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of cardiothoracic surgery, 2024. 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
2.5field-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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  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

6 authors at 2 institutions in 1 country.

Mengnan HanDepartment of Anesthesiology, Hebei General Hospital, No 348 West Heping Road, Shijiazhuang, 050051, China.
Yanru DuDepartment of Anesthesiology, Hebei General Hospital, No 348 West Heping Road, Shijiazhuang, 050051, China.
Jianli LiDepartment of Anesthesiology, Hebei General Hospital, No 348 West Heping Road, Shijiazhuang, 050051, China. hblijianli@163.com.
Yi LiDepartment of Anesthesiology, Hebei General Hospital, No 348 West Heping Road, Shijiazhuang, 050051, China.
Shuang HanDepartment of Anesthesiology, Hebei General Hospital, No 348 West Heping Road, Shijiazhuang, 050051, China.
Chong LiDepartment of Anesthesiology, Hebei General Hospital, No 348 West Heping Road, Shijiazhuang, 050051, China.
Hebei General Hospital · CNHebei North University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemote ischemic preconditioning (RIPC) is proven to have neuroprotective protective effects. Nevertheless, the impact of RIPC on postoperative cognitive dysfunction (POCD) in patients undergoing general anesthesia is controversial. This meta-analysis of randomized controlled trials (RCTs) aimed to assess the effect of RIPC on POCD in adults after general anesthesia.

methodsRelevant literature was obtained by searching Embase, PubMed, Web of Science, Cochrane Library, Wanfang, and China National Knowledge Infrastructure (CNKI) databases in July 2022. RCTs were included to assess the influences of RIPC on POCD in adults following general anesthesia. Two investigators independently performed literature screening, data extraction, and quality assessment based on the inclusion and exclusion criteria. The incidence of POCD, operation time, and hospital stay were analyzed by Review manager5.4 software.

resultsThirteen RCTs with 1122 participants were selected for this meta-analysis. Compared to the control group, RIPC decreased the incidence of POCD (OR = 0.50, 95% CI 0.31-0.82), as well as reduced the duration of hospitalization (MD = - 0.98, 95% CI - 1.69 to - 0.27), but did not prolong operative time (MD = - 2.65, 95% CI - 7.68 to 2.37).

conclusionRIPC reduced the incidence of POCD in adult patients after general anesthesia and accelerated their discharge.

Indexed as

Anesthesia, GeneralIschemic PreconditioningPostoperative Cognitive ComplicationsAdultChinaHumansRandomized Controlled Trials as TopicCognitive dysfunctionGeneral anesthesiaGeneral surgeryMeta-analysisNeuropsychological testsPostoperative complicationsRemote ischemic preconditioning

Identifiers

PMID38321534
PMCPMC10848366
OpenAlexW4391563986

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.