Evidence map›Paper›PMID 39891182›Full record

SynthesisJournal of cardiothoracic surgery2025

Dexmedetomidine for delirium prevention in adult patients following cardiac surgery: a meta-analysis of randomized controlled trials.

Chang Meng, Duo Wang, Yue Zhao, Jing Sun, Guobin Miao, Lijuan Chen, Ying Bai, Peng Liu

Abstract readMeta-Analysis
In one paragraph

Synthesis in Journal of cardiothoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Post-Operative Delirium in Elderly Patients: A Narrative Review.International journal of molecular sciences · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. 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

8 authors.

Chang Meng *Department of Emergency, Emergency General Hospital, XiBaHe South Road 29, Beijing, 100028, P. R. China.
Duo Wang *Department of General Medicine, Ordos School of Clinical Medicine, Ordos Central Hospital, Inner Mongolia Medical University, Ordos, 017000, P. R. China.
Yue Zhao *Department of Emergency, Emergency General Hospital, XiBaHe South Road 29, Beijing, 100028, P. R. China.
Jing SunDepartment of Critical Care Medicine, Emergency General Hospital, XiBaHe South Road 29, Beijing, 100028, P. R. China.
Guobin MiaoDepartment of Emergency, Emergency General Hospital, XiBaHe South Road 29, Beijing, 100028, P. R. China.
Lijuan ChenDepartment of Emergency, Emergency General Hospital, XiBaHe South Road 29, Beijing, 100028, P. R. China. lijuancom61@163.com.
Ying BaiDepartment of Critical Care Medicine, Emergency General Hospital, XiBaHe South Road 29, Beijing, 100028, P. R. China. baitsinghua@126.com.
Peng LiuDepartment of Cardiology, Ordos School of Clinical Medicine, Ordos Central Hospital, Inner Mongolia Medical University, 23 Yijin Huoluo West Street, Dongsheng District, Inner Mongolia, 017000, P. R. China. wanguyisu@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine whether perioperative administration of dexmedetomidine reduces the incidence of postoperative delirium in adult patients undergoing cardiac surgery.

methodsWe searched the PubMed, Embase and Cochrane Library databases for randomized controlled trials from the last 10 years up to March 10, 2024. We then conducted a meta-analysis to evaluate the effectiveness and safety of dexmedetomidine in preventing delirium after cardiac surgery in adults. This meta-analysis followed the steps in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA2020) guidelines. This study is registered with INPLASY under number INPLASY202430132.

resultsA total of 2689 patients were included in our analyses. All included studies were randomized controlled trials. Dexmedetomidine can reduce the occurrence of delirium in patients after cardiac surgery(OR 0.75, 95%CI 0.57-0.98, I

conclusionsDexmedetomidine is safe for cardiac surgery patients and to some extent reduces the incidence of delirium in cardiac surgery patients, which is more important in preoperative use.

Indexed as

Cardiac Surgical ProceduresDeliriumDexmedetomidinePostoperative ComplicationsAdultHumansHypnotics and SedativesIncidenceRandomized Controlled Trials as TopicDexmedetomidineHypnotics and SedativesCardiac surgeryDeliriumDexmedetomidine

Identifiers

PMID39891182
PMCPMC11783797

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.