Neurocognitive Outcomes of Patients Following Off-Pump Coronary Artery Bypass Surgery

2.50
Hdl Handle:
http://hdl.handle.net/10755/151568
Type:
Presentation
Title:
Neurocognitive Outcomes of Patients Following Off-Pump Coronary Artery Bypass Surgery
Abstract:
Neurocognitive Outcomes of Patients Following Off-Pump Coronary Artery Bypass Surgery
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Sendelbach, Sue, RN, PhD, CCNS, FAHA
P.I. Institution Name:Abbott Northwestern Hospital
Title:Clinical Nurse Researcher
Co-Authors:Shigeaki Watanuki, RN, PhD; Kristin E. Sandau, RN, PhD; Ruth Ann Lindquist, RN, PhD, APRN, BC, FAAN; Kay Savik, MS
Despite substantial reductions in age- and risk-adjusted mortality after coronary artery bypass graft (CABG) surgery over the decades, the reported prevalence of neuropsychological functional decline in patients after CABG has changed little, ranging from 31% to 73%. Use of the cardiopulmonary bypass pump (CPB) is a possible contributor to this decline. ôOff-pumpö CABG (OPCAB) surgery without CPB has become an alternative but studies of neuropsychological outcomes of OPCAB and correlates of outcome are few. Fifty-four patients at a Midwestern urban tertiary care center participated in the study. Neurocognitive tests of cognitive and motor functioning were administered within 72 hours preoperatively and between 72 hours and discharge postoperatively. Perioperative data were also collected to identify correlates of neuropsychological outcome. From the preoperative baseline to the postoperative follow-up before discharge, an improvement from preoperative cognitive composite of neurocognitive function was observed in contrast with most previously reported data. A decline in the motor composite of neurocognitive function was observed, congruent with results of previously reported studies. The improved cognitive composite may be attributed to the time of measurement, definition of decline, and statistical analyses employed. The cognitive composite outcomes correlated with the preoperative cognitive composite (p
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNeurocognitive Outcomes of Patients Following Off-Pump Coronary Artery Bypass Surgeryen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151568-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Neurocognitive Outcomes of Patients Following Off-Pump Coronary Artery Bypass Surgery</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Sendelbach, Sue, RN, PhD, CCNS, FAHA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Abbott Northwestern Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Researcher</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Sue.Sendelbach@allina.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Shigeaki Watanuki, RN, PhD; Kristin E. Sandau, RN, PhD; Ruth Ann Lindquist, RN, PhD, APRN, BC, FAAN; Kay Savik, MS</td></tr><tr><td colspan="2" class="item-abstract">Despite substantial reductions in age- and risk-adjusted mortality after coronary artery bypass graft (CABG) surgery over the decades, the reported prevalence of neuropsychological functional decline in patients after CABG has changed little, ranging from 31% to 73%. Use of the cardiopulmonary bypass pump (CPB) is a possible contributor to this decline. &ocirc;Off-pump&ouml; CABG (OPCAB) surgery without CPB has become an alternative but studies of neuropsychological outcomes of OPCAB and correlates of outcome are few. Fifty-four patients at a Midwestern urban tertiary care center participated in the study. Neurocognitive tests of cognitive and motor functioning were administered within 72 hours preoperatively and between 72 hours and discharge postoperatively. Perioperative data were also collected to identify correlates of neuropsychological outcome. From the preoperative baseline to the postoperative follow-up before discharge, an improvement from preoperative cognitive composite of neurocognitive function was observed in contrast with most previously reported data. A decline in the motor composite of neurocognitive function was observed, congruent with results of previously reported studies. The improved cognitive composite may be attributed to the time of measurement, definition of decline, and statistical analyses employed. The cognitive composite outcomes correlated with the preoperative cognitive composite (p</td></tr></table>en_GB
dc.date.available2011-10-26T11:06:33Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:06:33Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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