Evidence map›Paper›PMID 42022269›Full record

ArticleJournal of inflammation research2026

The Relationship Between Decreased Serum Klotho Protein and Cognitive Impairment in Patients After Abdominal Surgery.

Xuehui Li, Feng Ao

Abstract read
In one paragraph

Article in Journal of inflammation research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Xuehui LiDepartment of Anesthesiology, Sijing Hospital, Shanghai, 201601, People's Republic of China.
Feng AoDepartment of General Surgery, Sijing Hospital, Shanghai, 201601, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postoperative cognitive dysfunction (POCD) is a common complication in elderly patients undergoing abdominal surgery; however, reliable biomarkers for its early identification are limited. Klotho, an anti-aging protein with neuroprotective and anti-inflammatory properties, may play a role in POCD development. This study investigated the association between serum Klotho levels and POCD, as well as their relationships with inflammation and cognitive outcomes. Methods: A total of 93 patients undergoing abdominal surgery were enrolled and classified into non-POCD (n = 59) and POCD (n = 34) groups based on their postoperative Montreal Cognitive Assessment (MoCA) scores. Serum Klotho, C-reactive protein (CRP), interleukin (IL)-1β, and IL-6 levels were measured preoperatively and postoperatively. Multivariate logistic regression, receiver operating characteristic (ROC) curve analysis, and Pearson correlation analyses were performed to evaluate associations and predictive value. Results: Patients who developed POCD had significantly longer durations of anesthesia than those without POCD (all Conclusion: Decreased postoperative serum Klotho levels are closely associated with increased inflammation and cognitive impairment following abdominal surgery. Klotho may serve as a promising biomarker for the early identification of POCD and as a potential therapeutic target to improve postoperative cognitive outcomes.

Indexed as

abdominal surgeryinflammationMoCAmontreal cognitive assessmentPOCDpostoperative cognitive dysfunctionserum klotho

Identifiers

PMID42022269
PMCPMC13098546

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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.