Neuropsychological alterations after coronary artery bypass graft surgery.
Artigo
em Inglês
| IMSEAR
| ID: sea-45658
ABSTRACT
OBJECTIVE:
To evaluate neuropsychological dysfunction in patients following elective coronary artery bypass graft surgery at Siriraj Hospital. PATIENTS ANDMETHOD:
One hundred and ten patients who were scheduled for elective coronary artery bypass graft surgery were included in this study. We used the Thai Mental State Examination (TMSE) in order to detectthe presence of cognitive impairment aftercoronary artery bypass graft surgery. The examinations were conducted on two consecutive occasions; first preoperatively, the day before surgery, secondly on the third - fifth postoperative day. The patients' clinical characteristics were assessed perioperatively.RESULTS:
The overall occurrence of neuropsychological deficit was 18.18 per cent. Predictors of neuropsychological dysfunction were older age and preexisting disease such as hypertension, hypercholesterolemia and renal insufficiency. Other risk factors such as gender, history of congestive heart failure, myocardial infarction, diabetes mellitus, dysrhythmia, cardiopulmonary bypass time, hemoglobin during cardiopulmonary bypass <7 g/dl, hemoglobin on admission to surgical cardiac care unit <10 g/dl, and atrial fibrillation arising after surgery were not significant.CONCLUSION:
Neuropsychological impairments after coronary artery bypass graft surgery are relatively common. This study did not find an increased incidence with respect to gender as other studies have done. However, long-term follow-up of these patients would be very valuable.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Complicações Pós-Operatórias
/
Encefalopatias
/
Idoso
/
Feminino
/
Humanos
/
Masculino
/
Distribuição de Qui-Quadrado
/
Modelos Logísticos
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Ponte de Artéria Coronária
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Estudos Prospectivos
Tipo de estudo:
Estudo de etiologia
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Estudo observacional
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Estudo prognóstico
/
Fatores de risco
Idioma:
Inglês
Ano de publicação:
2002
Tipo de documento:
Artigo
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