Document Detail


Internet-based assessment of postoperative neurocognitive function in cardiac and thoracic aortic surgery patients.
MedLine Citation:
PMID:  20934726     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: The primary purpose of this study was to determine the practicality of long-term, postoperative neurocognitive assessment via remote Internet-based testing in a cohort of patients who had undergone cardiac or thoracic aortic surgery within the previous 6 years. The secondary aim of this study was to examine the relationships among hypothermic circulatory arrest time, cardiopulmonary bypass time, and selective cerebral perfusion time with long-term postoperative neurocognitive function, as assessed by this novel testing method.
METHODS: Three hundred patients who had undergone cardiac and/or proximal aortic surgery with cardiopulmonary bypass (n = 207), thoracic aortic surgery with hypothermic circulatory arrest (n = 67), or thoracic aortic surgery with hypothermic circulatory arrest and selective cerebral perfusion (n = 26) within the previous 6 years underwent Internet-based neurocognitive assessment.
RESULTS: The duration of hypothermic circulatory arrest was negatively associated with processing speed scores and memory scores; arrest duration greater than 21 to 24 minutes was negatively associated with response speed scores. These associations were independent of time since surgery, age at testing, and educational level. Neither cardiopulmonary bypass duration nor selective cerebral perfusion duration was associated with test score results.
CONCLUSIONS: This study demonstrated the practicality of long-term neurocognitive assessment of patients who have undergone cardiac and thoracic aortic surgery by means of Internet-based computerized testing. Furthermore, there was a negative association between the duration of intraoperative hypothermic circulatory arrest and long-term postoperative neurocognitive function that needs further examination in prospective studies.
Authors:
Suzan Uysal; Michael Mazzeffi; Hung-Mo Lin; Gregory W Fischer; Randall B Griepp; David H Adams; David L Reich
Related Documents :
16516086 - Long-term outcome of surgically treated aortic regurgitation: influence of guideline ad...
11788256 - Surgical repair of congenital supravalvular aortic stenosis in children.
16159826 - Decade of aortic valve sparing reimplantation: are we pushing the limits too far?
7437956 - Surgical treatment of annuloaortic ectasia.
25017586 - Comparison of the urethrovesical anastomoses with polyglecaprone (monocryl®) and bidir...
24270636 - Myopic regression after phakic intraocular lens implantation and lasik.
Publication Detail:
Type:  Journal Article     Date:  2010-10-08
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  141     ISSN:  1097-685X     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  777-81     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2011 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Anesthesiology, Mount Sinai School of Medicine, New York, NY.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Reproducibility of left atrial ablation with high-intensity focused ultrasound energy in a calf mode...
Next Document:  The influence of age on atrial fibrillation recurrence after the maze procedure in patients with gia...