Neuropsychologic testing within 18 hours after cardiac surgery.
J Cardiothorac Vasc Anesth
; 15(1): 20-4, 2001 Feb.
Article
en En
| MEDLINE
| ID: mdl-11254834
ABSTRACT
OBJECTIVE:
To undertake neuropsychologic testing within 18 hours of cardiac surgery after fast-track anesthesia.DESIGN:
Prospective study.SETTING:
University hospital, single center.PARTICIPANTS:
Fifty patients undergoing first-time elective coronary artery surgery.INTERVENTIONS:
A neuropsychologic test battery was administered preoperatively and 18 hours and 5 days after surgery. MAINRESULTS:
Seven patients were withdrawn, and 9 patients did not attempt the postoperative tests (on both occasions) because of medical complications. Thirty patients completed > or =4 tests at both postoperative occasions. Of these, 9 patients (30%) showed a deficit in > or =2 tests at 18 hours postoperatively, and 3 (10%) showed a deficit at 5 days postoperatively.CONCLUSION:
In the absence of medical complications and despite the difficulties, early postoperative neuropsychologic testing is possible after fast-track anesthesia. Such testing has the potential to more clearly define the course of cognitive decline after cardiac surgery.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Cardíacos
/
Pruebas Neuropsicológicas
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Cardiothorac Vasc Anesth
Asunto de la revista:
ANESTESIOLOGIA
/
CARDIOLOGIA
Año:
2001
Tipo del documento:
Article
País de afiliación:
Australia