Evidence mapPaperPMID 39754021Full record

ArticleCNS neuroscience & therapeutics2025

Association Between Blood Urea Nitrogen and Delirium in Critically Ill Elderly Patients Without Kidney Diseases: A Retrospective Study and Mendelian Randomization Analysis.

Yipeng Fang, Xiaohong Tang, Ying Gao, Hui Xie, Yuehao Shen, Min Peng, Jie Liu, Yunfei Zhang, Yan Cui, Keliang Xie

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Article in CNS neuroscience & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

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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

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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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

10 authors.

Yipeng FangDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.ORCID 0000-0001-6051-5274
Xiaohong TangDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Ying GaoDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Hui XieFirth Clinical College, Xinxiang Medical University, Xinxiang, China.
Yuehao ShenDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Min PengDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Jie LiuDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Yunfei ZhangTianjin Hospital of Tianjin University, Tianjin, China.
Yan CuiDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.ORCID 0000-0003-4459-0594
Keliang XieDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.

Funding

2021-N-15 project of China International Medical Foundation 2021-N-15-8Tianjin Health Research Project TJWJ2024XK006Tianjin Medical University General Hospital Clinical Research Program 22ZYYLCCG05Tianjin Science and Technology Innovation Talent Training Project 24JRRCC00160
6 · The paper itself

Abstract

objectiveThis study investigates the association between blood urea nitrogen (BUN) levels and the risk of delirium in critically ill elderly patients without kidney disease.

methodsA retrospective analysis was conducted using data from the MIMIC-IV database. The relationship between BUN and delirium risk was illustrated through the restricted cubic spline (RCS) method. Patients were stratified by BUN levels and examined for delirium incidence using logistic regression, subgroup analysis, and sensitivity analysis. Mendelian randomization (MR) was employed to explore potential causal relationships.

resultsThe maximum BUN level exhibited the strongest non-linear positive association with the odds of delirium. Compared to the Q1 group, both the Q3 (23-31 mg/dL) and Q4 (> 31 mg/dL) groups consistently showed increased odds of developing delirium. Subgroup analysis identified a significant interaction between BUN and midazolam, with the association only evident in patients not exposed to midazolam. After adjusting for baseline characteristics, the odds ratio for delirium was found to range from 1.35 to 1.39 in those with BUN levels exceeding 23 mg/dL. However, the MR analysis did not reveal any significant causal relationship (all p > 0.05).

conclusionIn conclusion, elevated BUN may be a risk factor for delirium in critically ill elderly patients without renal dysfunction, with this potential link possibly modulated by midazolam exposure.

Indexed as

Blood Urea NitrogenCritical IllnessDeliriumMendelian Randomization AnalysisAgedAged, 80 and overFemaleHumansMaleRetrospective StudiesRisk FactorsdeliriumelderlyencephalopathyICU‐CAMmendelian randomizationMIMIC IVurea nitrogen

Identifiers

PMID39754021
PMCPMC11702503

What Socratic holds

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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 Socratic graph.