Evidence map›Paper›PMID 41446854›Full record

ArticleFrontiers in medicine2025

The effect of remimazolam versus conventional anesthesia on postoperative delirium in frail patients: a prospective, controlled cohort study.

Yanjie Yang, Zhangnan Sun, Jiangli Wu, Lining Huang, Shuxian Ma

Abstract read
In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Yanjie Yang *Department of Anesthesiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Zhangnan Sun *Department of Anesthesiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Jiangli WuDepartment of Anesthesiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Lining HuangDepartment of Anesthesiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Shuxian MaDepartment of Anesthesiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Frail elderly patients are at high risk for postoperative delirium (POD), a serious complication associated with poor outcomes. The choice of anesthetic agent may represent a modifiable risk factor. This study aimed to compare the effect of anesthesia involving remimazolam versus conventional general anesthesia without remimazolam on the incidence of POD in this vulnerable population. Methods: We enrolled frail elderly patients (defined as Clinical Frailty Scale ≥ 5) scheduled for elective non-cardiac surgery. Patients received either anesthesia involving remimazolam (R group, Results: Between June 2024 and June 2025, a total of 606 patients were enrolled and analyzed (R group: Conclusion: In this cohort of frail elderly patients, the use of remimazolam for general anesthesia was associated with a lower incidence of postoperative delirium compared to conventional anesthesia. This choice represents a promising, modifiable strategy for improving neurological outcomes in this high-risk group.

Indexed as

frail elderly patientsgeneral anesthesiapostoperative deliriumprospective cohort studyremimazolam

Identifiers

PMID41446854
PMCPMC12722809

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