Perioperative medicine & outcomes

Resolution of elevated interleukin-6 after surgery is associated with return of normal cognitive function

Br J AnaesthPublished Prospective cohort study

Authors' conclusion

Delayed resolution of inflammation is associated with cognitive impairment after surgery.

Study context

Population
Patients aged ≥65 yr undergoing major surgery
Participants
170 patients
Outcome
Association of changes in plasma interleukin-6 levels with changes in Trail Making Test B (executive function)
Follow-up
1 yr
Methodological detailsmixed-effects analyses, generalised additive model
  • Mixed-effects analyses
  • Generalised additive model

Main finding

As reported in the abstract

Changes in interleukin-6 vs changes in Trail Making Test B
Changes in interleukin-6 associated with changes in Trail Making Test B (generalised additive model), β
0.074
P
P<0.001

Observational data: associations, not effects.

Further findings

Trail Making Test A and Controlled Oral Word Association Test

Changes in interleukin-6 also correlated with changes in Trail Making Test A and Controlled Oral Word Association Test

Binary cognitive decline (>1, >1.5, or >2 SD from baseline) (sensitivity analysis)

Also associated with interleukin-6 changes

Original publication

Resolution of elevated interleukin-6 after surgery is associated with return of normal cognitive function. Br J Anaesth. Published 27 June 2023. doi:10.1016/j.bja.2023.05.023

Composed by AI from the published abstract and checked against it. How Briefs are made →

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