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Screening Versus Brief Domain-specific Tests to Assess Long-term Postoperative Cognitive Dysfunction After Concomitant Aortic Valve Replacement and Coronary Artery Bypass Grafting.
- Source :
-
The Journal of cardiovascular nursing [J Cardiovasc Nurs] 2019 Nov/Dec; Vol. 34 (6), pp. 511-516. - Publication Year :
- 2019
-
Abstract
- Background: Although postoperative cognitive dysfunction is a relevant complication after surgery, assessment for the condition is not routine in clinical practice.<br />Objective: The aim of this study was to compare the use of screening versus brief domain-specific cognitive tests in assessing long-term cognitive dysfunction after concomitant aortic valve replacement and coronary artery bypass grafting.<br />Methods: In this observational prospective study, we evaluated 70 patients preoperatively and after 1, 6, and 12 months using 2 screening tests (Mini-Mental State Examination and Clock Drawing Test) and 2 brief domain-specific cognitive tests (Trail Making Test to evaluate attention and executive function, and Semantic and Phonological Tests to evaluate verbal fluency).<br />Results: The brief domain-specific cognitive tests detected significant postoperative worsening in performances (up to 19% on the Trail Making Test and 15.4% on verbal fluency tests at 6 months). Postoperative mild attention/executive dysfunction or inferior normal performance was detected with the maximums being seen at 6 months (44.6%, P < .001). Performances on screening tests did not significantly change during the study period.<br />Conclusions: A brief domain-specific cognitive evaluation could be routinely implemented in perioperative care practice to detect postoperative cognitive dysfunction.
Details
- Language :
- English
- ISSN :
- 1550-5049
- Volume :
- 34
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- The Journal of cardiovascular nursing
- Publication Type :
- Academic Journal
- Accession number :
- 31365446
- Full Text :
- https://doi.org/10.1097/JCN.0000000000000596