Evidence mapPaperPMID 31007001Full record

Trial reportBrain and behavior2019

Effect of flurbiprofen axetil on postoperative delirium for elderly patients.

Xifan Wang, Yu Wang, Yanan Hu, Liping Wang, Wenshuai Zhao, Lanying Wei, Hong Chen, Fei Han

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% of its field
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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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 at 1 institution in 1 country.

Xifan WangDepartment of Anesthesiology, The Third Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang, China.
Yu WangDepartment of Anesthesiology, The Third Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang, China.
Yanan HuDepartment of Anesthesiology, The Third Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang, China.
Liping WangDepartment of Anesthesiology, The Third Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang, China.
Wenshuai ZhaoDepartment of Anesthesiology, The Third Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang, China.
Lanying WeiDepartment of Anesthesiology, The Third Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang, China.
Hong ChenDepartment of Anesthesiology, The Third Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang, China.
Fei HanDepartment of Anesthesiology, The Third Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang, China.ORCID 0000-0001-8370-1870
Harbin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesProinflammatory cytokines triggered by surgery and postoperative pain are major causes of postoperative delirium (POD). This study investigated the effects of flurbiprofen axetil on POD when used for postoperative analgesia after major noncardiac surgery in elderly patients.

methodsPatients over 65 years old were randomly divided into two groups: the sufentanil group (S group), in which 150 μg of sufentanil was used in the patient-controlled analgesia (PCA) pump for 3 days; the sufentanil combined with flurbiprofen axetil group (SF group), in which 150 μg of sufentanil was combined with 300 mg of flurbiprofen axetil in the PCA pump for 3 days. The Confusion Assessment Method scale was used for POD evaluation. The pain intensity, side effects, and risk factors (age, gender, surgical position, and category of surgery) for POD were evaluated.

resultsUltimately, 140 patients were included. The overall incidence of POD was not significantly different between the S and SF groups. The incidence of POD was significantly lower in the SF group than in the S group among patients over 70 years (5.1% vs. 20.7%, p = 0.045, odds ratio = 0.146, 95% confidence interval = 0.020-1.041). The incidence of POD was no difference in patients classified by the category of surgery, surgical position, or gender between groups. Sufentanil and flurbiprofen axetil in the PCA pump was completely used within 72 hr. The pain intensity, consumed sufentanil dosage of the PCA, and the side effects was not different between groups.

conclusionsFlurbiprofen axetil might reduce POD in patients over 70 years undergoing major noncardiac surgery.

Indexed as

AgedAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalDeliriumDouble-Blind MethodDrug Therapy, CombinationFemaleFlurbiprofenHumansMalePostoperative ComplicationsPostoperative PainProspective StudiesSufentanilAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalFlurbiprofenflurbiprofen axetilSufentanilelderflurbiprofen axetilpatient-controlled analgesiapostoperative delirium

Identifiers

PMID31007001
PMCPMC6576198
OpenAlexW2941650283

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.