Evidence map›Paper›PMID 39354373›Full record

Observational studyBMC anesthesiology2024

The effect of two different modes of anaesthesia maintenance on postoperative delirium in elderly patient with low preoperative mini-cog score.

Harun Tolga Duran, Mehmet Kızılkaya, Aslı Aydinli, Sadık Osmantevfik, Serkan Taştan, Osman Özgür Kılınç, Yavuz Pirhan

Registry-linked trialAbstract readComparative StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06597812 (the Effect of Two Different Modes of Anaesthesia Mainantance on Postoperative Delirium in Elderly Patient With Low Preoperative Mini-cog Score), which is not on this 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.

NCT06597812 completednot on this map

the Effect of Two Different Modes of Anaesthesia Mainantance on Postoperative Delirium in Elderly Patient With Low Preoperative Mini-cog Score

Typeobservational_patient_registrySponsorAmasya UniversityRan2023 to 2023Enrolled84ConditionsCognitive Dysfunction, Cognitive Disorder, Delirium - PostoperativeArmsSevoflurane
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Review
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.

Harun Tolga DuranDepartment of Anesthesiology and Reanimation, Amasya University Sabuncuoglu Serefettin Training and Research Hospital, No, Amasya, 55100, Turkey. Htd0561@gmail.com.ORCID 0000-0002-6521-8313
Mehmet KızılkayaDepartment of Anesthesiology and Reanimation, Amasya University Sabuncuoglu Serefettin Training and Research Hospital, No, Amasya, 55100, Turkey.ORCID 0000-0002-3767-2367
Aslı AydinliDepartment of Anesthesiology and Reanimation, Amasya University Sabuncuoglu Serefettin Training and Research Hospital, No, Amasya, 55100, Turkey.ORCID 0009-0007-4323-8640
Sadık OsmantevfikDepartment of Anesthesiology and Reanimation, Amasya University Sabuncuoglu Serefettin Training and Research Hospital, No, Amasya, 55100, Turkey.ORCID 0009-0009-8530-5404
Serkan TaştanDepartment of Anesthesiology and Reanimation, Amasya University Sabuncuoglu Serefettin Training and Research Hospital, No, Amasya, 55100, Turkey.ORCID 0009-0001-3913-6859
Osman Özgür KılınçDepartment of Anesthesiology and Reanimation, Amasya University Sabuncuoglu Serefettin Training and Research Hospital, No, Amasya, 55100, Turkey.ORCID 0000-0001-9183-3929
Yavuz PirhanDepartment of General Surgery, Amasya University Sabuncuoglu Serefettin Training and Research Hospital, No, Amasya, 55100, Turkey.ORCID 0000-0002-8234-6739

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative delirium is a common distressing symptom experienced following laparoscopic cholecystectomy. The study aimed to investigate the influence of a low preoperative Mini-Cog testing score and 2 different anesthesia methods: total intravenous anaesthesia (TIVA) versus sevoflurane, on postoperative delirium in elderly patients undergoing laparoscopic cholecystectomy.

methodsA total of 84 patients over 60 years old who underwent laparoscopic cholecystectomy between March 1and - October 1 2023 were included in the study. Patients with a Mini-Cog score of 0-2 were considered to have low and possibly impaired neurocognitive function. We invastigated the effects of preoperative Mini-Cog score and the two anesthesia methods used on the incidence of postoperative delirium.

resultsThe proportion of patients with low Mini-Cog score in the preoperative period was 17.9%. Sevoflurane and TIVA was used in 41 and 43 patients respectively. The incidence of postoperative delirium in patients with low preoperative Mini-Cog scores was 66.7% at postoperative 0 h and 33.3% at the 1st hours. Postoperative delirium was found to be statistically higher in patients with low Mini-cog scores than in those with negatively-screened for Mini-cog scores (p: 0.01-0.035). In patients using sevoflurane, the incidence of postoperative delirium was 26.8% and 24.4% at the 0 and 1st hours, respectively. This was found to be statistically higher than in patients receiving TIVA (p: 0.036 - 0.010).

conclusionLow Mini-Cog score was an indicator of a higher risk of early postoperative delirium. Sevoflurane is more likely to cause postoperative delirium than TIVA.

trial registrationThe study was registered on ClinicalTrials.gov (Identifier: NCT06597812) .

Indexed as

Anesthetics, InhalationCholecystectomy, LaparoscopicSevofluraneAgedAged, 80 and overAnesthesia, IntravenousDeliriumEmergence DeliriumFemaleHumansIncidenceMaleMiddle AgedPostoperative ComplicationsProspective StudiesAnesthetics, InhalationSevofluraneAnaesthesiaMini-cogPostoperative delirium

Identifiers

PMID39354373
PMCPMC11443701

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.