Evidence map›Paper›PMID 39719065›Full record

ArticleThe Journal of international medical research2024

Different doses of dexmedetomidine combined with propofol for older adults undergoing cardiac surgery: the impact on postoperative delirium.

Hong Wang, Hong Han, Yufang Leng, Jiaxi Yao

Abstract read
In one paragraph

Article in The Journal of international medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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. Trial
  2. What is new in cardiac anesthesia in 2024?Journal of anesthesia and translational medicine · 2025
    Review
  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

4 authors.

Hong WangDepartment of Anesthesiology and Perioperative Medicine, Zhangye Second People's Hospital, Zhangye, Gansu, P.R. China.
Hong HanDepartment of Anesthesiology and Perioperative Medicine, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu, P.R. China.
Yufang LengDepartment of Anesthesiology and Perioperative Medicine, First Hospital of Lanzhou University, Gansu, P.R. China.
Jiaxi YaoDepartment of Urology, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu, P.R. China.ORCID 0000-0002-8023-4338

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study retrospectively investigated the effects of different doses of dexmedetomidine combined with propofol on postoperative delirium in older adults undergoing cardiac surgery.

methodsThe medical records of 82 older adults undergoing cardiac surgery admitted to two hospitals between August 2019 and August 2022 were analyzed. The participants were divided into two groups based on the dexmedetomidine dose: group A (0.5 µg/kg dexmedetomidine + propofol) and group B (1.0 µg/kg dexmedetomidine + propofol). The mean arterial pressure (MAP), heart rate (HR), anesthesia depth index (NTI), and incidence of postoperative delirium (POD) at 7 days after surgery were compared.

resultsMAP and HR were significantly higher in group A than in group B during extubation and 10 minutes after extubation and significantly higher than the values before anesthesia induction. At all time points post-anesthesia induction, NTI was higher in group B than in group A, and the incidence of POD within 7 days after surgery was significantly higher in group A. The Prince-Henry pain scores were higher in group A than in group B at 1, 4, 24, and 48 hours after surgery.

conclusionsHigher dexmedetomidine doses were associated with more stable hemodynamics and stronger effects on POD in older adults undergoing cardiac surgery.

Indexed as

Cardiac Surgical ProceduresDexmedetomidinePropofolAgedAged, 80 and overDeliriumDose-Response Relationship, DrugFemaleHeart RateHemodynamicsHumansHypnotics and SedativesIncidenceMaleMiddle AgedPostoperative ComplicationsDexmedetomidineHypnotics and SedativesPropofolCardiac surgerydexmedetomidinehemodynamicsolder adultpostoperative deliriumpropofol

Identifiers

PMID39719065
PMCPMC11683805

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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.