Evidence map›Paper›PMID 40820307›Full record

ArticlePerfusion2026

Delirium after coronary artery bypass grafting with cardiopulmonary bypass surgery: The value of cerebral autoregulation.

Greta Kasputytė, Birutė Kumpaitienė, Milda Švagždienė, Judita Andrejaitiene, Edmundas Širvinskas, Yasin Hamarat, Edvinas Chaleckas, Vilma Putnynaitė, Laimonas Bartusis, Rolandas Žakelis and 4 more

Abstract read
In one paragraph

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Greta KasputytėInstitute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.ORCID 0000-0002-5790-8955
Birutė KumpaitienėDepartment of Disaster Medicine, Medical Academy, Faculty of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.ORCID 0000-0002-6996-0291
Milda ŠvagždienėInstitute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.ORCID 0000-0002-6095-6261
Judita AndrejaitieneInstitute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.ORCID 0009-0002-3862-0582
Edmundas ŠirvinskasDepartment of Cardiac, Thoracic and Vascular Surgery, Medical Academy, Faculty of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Yasin HamaratHealth Telematics Science Institute, Kaunas University of Technology, Kaunas, Lithuania.ORCID 0000-0002-1343-5068
Edvinas ChaleckasHealth Telematics Science Institute, Kaunas University of Technology, Kaunas, Lithuania.ORCID 0009-0004-6467-9064
Vilma PutnynaitėHealth Telematics Science Institute, Kaunas University of Technology, Kaunas, Lithuania.
Laimonas BartusisHealth Telematics Science Institute, Kaunas University of Technology, Kaunas, Lithuania.ORCID 0000-0001-5835-5697
Rolandas ŽakelisHealth Telematics Science Institute, Kaunas University of Technology, Kaunas, Lithuania.
Vytautas PetkusHealth Telematics Science Institute, Kaunas University of Technology, Kaunas, Lithuania.
Arminas RagauskasHealth Telematics Science Institute, Kaunas University of Technology, Kaunas, Lithuania.
Tadas LenkutisDepartment of Anesthesiology, Medical Academy, Faculty of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.ORCID 0009-0000-8797-6716
Rimantas BenetisDepartment of Cardiac, Thoracic and Vascular Surgery, Medical Academy, Faculty of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.ORCID 0000-0001-8211-9459

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IntroductionPostoperative delirium affects up to 60% of cardiac surgical patients. No reliable gold standard method exists for preventing delirium after cardiac surgery. An example of patient-personal monitoring is cerebral autoregulation (CA). This study aims to highlight the personal monitoring of patients' cerebral autoregulation and to determine its relationship with postoperative delirium. Additionally, it seeks to test the hypothesis that the duration of CA impairment influences the onset of postoperative delirium.MethodsA prospective study was conducted in 2021-2023. After approval of the Ethics Committee and with the patient's written consent, 104 adult patients undergoing elective coronary artery bypass graft (CABG) with cardiopulmonary bypass (CPB) surgery were enrolled. To diagnose possible delirium, all patients underwent a Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) test. CA monitoring using transcranial Doppler was performed. CA status index - Mx was recorded.ResultsOur study found that 12.5% of patients were diagnosed with delirium after on-pump CABG surgery. The total duration of cerebral autoregulation impairment (TCAI) was longer in the delirium group, 4783.0 seconds versus 4204.5 seconds (

Indexed as

Cardiopulmonary BypassCoronary Artery BypassDeliriumHomeostasisAgedFemaleHumansMaleMiddle AgedProspective Studiescardiac surgerycardiopulmonary bypasscerebral autoregulationneurological complicationspostoperative delirium

Identifiers

PMID40820307
PMCPMC13144649

What Socratic holds

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LicenceCC BY
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Registered trials

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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.