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Titolo:
A comparison of neuropsychologic deficits after extracardiac and intracardiac surgery
Autore:
Andrew, MJ; Baker, RA; Bennetts, J; Kneebone, AC; Knight, JL;
Indirizzi:
Flinders Univ S Australia, Med Ctr, Dept Surg, Cardiac Surg Res Grp, Bedford Pk, SA 5042, Australia Flinders Univ S Australia Bedford Pk SA Australia 5042 SA 5042, Australia Flinders Med Ctr, Dept Hlth Psychol, Adelaide, SA, Australia Flinders Med Ctr Adelaide SA Australia Psychol, Adelaide, SA, Australia
Titolo Testata:
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
fascicolo: 1, volume: 15, anno: 2001,
pagine: 9 - 14
SICI:
1053-0770(200102)15:1<9:ACONDA>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
ARTERY BYPASS-SURGERY; CARDIAC-SURGERY; DYSFUNCTION; OUTCOMES;
Keywords:
neuropsychologic deficits; intracardiac surgery; extracardiac surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Baker, RA Flinders Univ S Australia, Med Ctr, Dept Surg, Cardiac Surg Res Grp, Bedford Pk, SA 5042, Australia Flinders Univ S Australia Bedford Pk SA Australia 5042 ustralia
Citazione:
M.J. Andrew et al., "A comparison of neuropsychologic deficits after extracardiac and intracardiac surgery", J CARDIOTHO, 15(1), 2001, pp. 9-14

Abstract

Objective: To compare the incidence of neuropsychologic deficits 1 week and 6 months after coronary artery bypass graft (CABG) surgery (extracardiac)and valve surgery with or without CABG surgery (intracardiac) using reliable change indices to define the incidence of neuropsychologic deficits. Design: Prospective study. Setting: Cardiac surgical unit in a university teaching hospital. Participants: Patients scheduled for elective multiple-graft (greater thanor equal to3 grafts) CABG surgery (n = 59), or elective valve surgery (with or without concomitant CABG surgery) (n = 50) and a matched sample of nonsurgical controls (n = 53). Interventions: Neuropsychologic assessments were performed 1 day before surgery, 7 days and 6 months after surgery. Measurements and Main Results: The 7-day assessment showed no significant differences between valve surgery patients and CABG surgery patients in theincidence of neuropsychologic deficits. When reassessed 6 months postoperatively, the valve group displayed a significantly higher incidence of deficits on the digit symbol test compared with the CABG group (valve 26.7% v CABG 6.8%). In the CABG group, there was a significant change in the incidence of deficits per patient from 7 days to 6 months (p = 0.03) that was not evident in the valve group. Conclusion: There are some differences in the neuropsychologic outcome of extracardiac and intracardiac surgery. Patients undergoing isolated CABG surgery showed a greater reduction in the incidence of persisting deficits at6 months than patients undergoing valve surgery with or without CABG surgery. This finding warrants further investigation, with particular attention to patients undergoing combined valve and coronary artery procedures. Copyright (C) 2001 by W.B. Saunders Company.

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Documento generato il 18/01/20 alle ore 01:39:28