Evidence map›Paper›PMID 40194785›Full record

Observational studyKorean journal of anesthesiology2025

Association between preoperative anemia and postoperative delirium in elderly patients undergoing non-cardiac surgery: a retrospective observational study.

Ah Ran Oh, Jungchan Park, Chung Soo Kim, Sangmin Maria Lee, Seung Yeon Yoo

Abstract readObservational Study
In one paragraph

Observational study in Korean journal of anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

  1. Article
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  4. Observational
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

5 authors.

Ah Ran OhDepartment of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Jungchan ParkDepartment of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Chung Soo KimDepartment of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Sangmin Maria LeeDepartment of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Seung Yeon YooDepartment of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between preoperative anemia and postoperative delirium (POD) is unclear. We sought to evaluate the effect of preoperative anemia on the risk of POD in elderly patients after non-cardiac surgery.

methodsWe retrospectively analyzed 62 600 patients aged over 60 years undergoing non-cardiac surgery between January 2011 and June 2019. The patients were divided into two groups according to the presence of preoperative anemia defined as hemoglobin < 13 g/dl for men and < 12 g/dl for women. Anemia was further categorized into mild or moderate-to-severe anemia based on a cutoff of 11 g/dl. The primary outcome was POD within 7 days after surgery. The secondary outcomes included one- and three-year mortality after surgery. The inverse probability of treatment weighting (IPTW) method was used to adjust for confounders between the two groups.

resultsThe overall incidence of POD was 3.9% (2447/62 600) within 7 days after surgery. After IPTW, preoperative anemia was significantly associated with increased risk of POD (odds ratio [OR]: 1.42, 95% CI [1.30-1.55], P < 0.001). Also, the risk of POD increased with the severity of anemia (OR: 1.32, 95% CI [1.18-1.47], P < 0.001 for mild anemia; and OR: 1.70, 95% CI [1.50-1.93], P < 0.001 for moderate-to-severe anemia). This association was similar for one- and three-year mortality.

conclusionsPreoperative anemia was associated with an increased risk of POD in elderly patients after non-cardiac surgery. Further investigations are required to verify whether preoperative anemia is a modifiable risk factor for POD.

Indexed as

AnemiaDeliriumEmergence DeliriumPostoperative ComplicationsAgedAged, 80 and overFemaleHumansIncidenceMaleMiddle AgedPreoperative PeriodRetrospective StudiesRisk FactorsAnemiaDeliriumGeneral surgeryGeriatricsHemoglobinsMortality.

Identifiers

PMID40194785
PMCPMC12489587

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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.