Are standard follow-up parameters sufficient to protect neurocognitive functions in patients with diabetes mellitus who underwent coronary artery bypass grafting?
Rev. bras. cir. cardiovasc
;
35(1): 75-81, Jan.-Feb. 2020. tab, graf
Article
in English
| LILACS
| ID: biblio-1092465
ABSTRACT
Abstract Objective:
We aimed to compare the effectiveness of cognitive function protection between the standard follow-up parameters and advanced neuromonitoring methods in diabetic patients who underwent coronary artery bypass grafting during cardiopulmonary bypass.Methods:
Study design was prospective and observational. Patients were separated into two groups, treated only with standard follow-up parameters (Group 1) and followed up with the change of regional cerebral tissue oxygenation (rSO2) by near-infrared spectroscopy (Group 2). Neurocognitive functions were evaluated preoperatively and postoperatively before discharge in all patients using the Montreal Cognitive Assessment (MoCA) test.Results:
Cognitive functions of Group 2 patients in the postoperative period were significantly higher than Group 1 patients (P=0.001). The mean postoperative MoCA score of patients was significantly lower than the mean preoperative MoCA score in Group 1 (24.8±2.2 vs. 23.6±2.6, P=0.02). However, mild cognitive dysfunction was significantly lower in Group 2, compared to Group 1 (P=0.02).Conclusion:
In patients followed up with standard parameters, a significant decrease in cognitive function was observed in the early period. However, the use of advanced neuromonitoring methods can significantly prevent this decrease in cognitive functions.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Diabetes Mellitus
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2020
Type:
Article
Affiliation country:
Turkey
Institution/Affiliation country:
Sakarya University/TR
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