Document Detail


Psychomotor car-driving abilities after robotically assisted totally endoscopic coronary artery bypass grafting.
MedLine Citation:
PMID:  23034872     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Postoperative cognitive decline is a common complication after coronary artery bypass graft surgery. As robotically assisted totally endoscopic coronary artery bypass grafting (TECAB) has shown several positive impacts on recovery and quality of life, the aim of this study was to assess psychomotor functioning relevant for car-driving abilities before and after this intervention.
METHODS: A total of 20 patients who underwent TECAB completed a neuropsychological test battery including conventional and computerized assessments [Trail Making Test (TMT A + B), Leeds Psychomotor Tester (LPT), Test System for Attentional Performance (TAP 2.1)] before surgery (T0) and 1 week (T1) and 3 months (T2) after surgery.
RESULTS: Data show no significant cognitive decline between T0, T1, and T2 following TECAB. Significant improvements were measured from T0 to T2 for psychomotoric function and visual attention (TMT A; p = 0.038) and for reaction time, which was significantly shorter after 3 months in comparison with T0 and T1; p = 0.001).
CONCLUSION: Data of our preliminary study show no relevant cognitive decline caused from TECAB and therefore do not contradict the practice of early car driving after this procedure.
Authors:
Martin Kopp; Angelika Knuenz; Franziska Oberascher; Nicole Pfaffenberger; Nicole Lucic; Gerhard Ruedl; Bernhard Holzner; Nikolaos Bonaros; Bonatti Johannes
Publication Detail:
Type:  Journal Article     Date:  2012-10-03
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  60     ISSN:  1439-1902     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-11-08     Completed Date:  2013-05-09     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  462-7     Citation Subset:  IM    
Copyright Information:
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Attention
Automobile Driving*
Cognition*
Coronary Artery Bypass / adverse effects,  methods*
Endoscopy* / adverse effects
Female
Humans
Male
Middle Aged
Neuropsychological Tests
Psychomotor Performance*
Reaction Time
Recovery of Function
Robotics*
Surgery, Computer-Assisted* / adverse effects
Time Factors
Treatment Outcome

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


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