Evidence map›Paper›PMID 39285170›Full record

ArticleTranslational psychiatry2024

Preoperative serum ferritin as a biomarker for predicting delirium among elderly patients receiving non-cardiac surgery: a retrospective cohort study.

Xianghan Ruan, Yang Li, Mengyao Yuan, Hao Li, Jingsheng Lou, Yanhong Liu, Jiangbei Cao, Yulong Ma, Weidong Mi, Xiaoying Zhang

Abstract read
In one paragraph

Article in Translational psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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.

Xianghan Ruan *Department of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Yang Li *Department of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Mengyao Yuan *Department of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Hao LiDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Jingsheng LouDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Yanhong LiuDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
Jiangbei CaoDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.ORCID 0000-0003-1218-4639
Yulong MaDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China. yulongma123@163.com.ORCID 0000-0003-0982-9571
Weidong MiDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China. wwdd1962@163.com.
Xiaoying ZhangDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, China. zxystudy@163.com.ORCID 0000-0002-6637-7025

Funding

National Natural Science Foundation of China (National Science Foundation of China) NO. 81901097National Natural Science Foundation of China (National Science Foundation of China) No.82171180
6 · The paper itself

Abstract

Iron metabolism disorder has been identified as a contributor to the pathogenesis and progression of multiple cognitive dysfunction-related diseases, including postoperative delirium. However, the association between preoperative iron reserves and postoperative delirium risk remains elusive. This retrospective cohort study aimed to explore the impact of preoperative serum ferritin levels on the risk of postoperative delirium in elderly patients undergoing non-neurosurgical and non-cardiac procedures. Conducted at the Chinese PLA General Hospital between January 2014 and December 2021, the study finally included 12,841 patients aged 65 years and above. Preoperative serum ferritin levels were assessed within 30 days before surgery, and postoperative delirium occurrence within the first seven days after surgery was determined through medical chart review. The analyses revealed that both low and high levels of serum ferritin were associated with an increased risk of postoperative delirium. Patients in the lowest quintile of serum ferritin exhibited an 81% increased risk, while those in the highest quintile faced a 91% increased risk compared to those in the second quintile. Furthermore, mediation analyses indicated that the direct effect of preoperative serum ferritin on postoperative delirium contradicted its indirect effect mediated by hemoglobin levels. These findings suggest that maintaining serum ferritin within moderate range preoperatively could be beneficial for managing postoperative delirium risk among elderly patients.

Indexed as

BiomarkersDeliriumFerritinsPostoperative ComplicationsAgedAged, 80 and overFemaleHumansMalePreoperative PeriodRetrospective StudiesRisk FactorsSurgical Procedures, OperativeBiomarkersFerritins

Identifiers

PMID39285170
PMCPMC11405726

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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.