Subjective and objective cognition 6-week post-coronary artery bypass graft surgery: A descriptive pilot study.
| Autor: | Ngcobo NN; Department of Psychiatry, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa., Tomita A; Department of Psychiatry, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa., Ramlall S; Discipline of Psychiatry, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa. |
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| Jazyk: | angličtina |
| Zdroj: | The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa [S Afr J Psychiatr] 2020 Jul 09; Vol. 26, pp. 1470. Date of Electronic Publication: 2020 Jul 09 (Print Publication: 2020). |
| DOI: | 10.4102/sajpsychiatry.v26i0.1470 |
| Abstrakt: | Background: Coronary artery bypass graft (CABG) surgery has been found to be associated with post-operative cognitive decline. Despite the large and growing numbers being conducted in South Africa, the associated or ensuing cognitive symptoms or impairment have received little research attention. Aim: The aim of this pilot study was to describe the nature and extent of subjective cognitive complaints (SCCs) and objective cognitive impairments in patients 6-week post-CABG surgery in a clinical sample in KwaZulu-Natal (KZN) Province, South Africa. Setting: A cross-sectional survey was conducted among outpatients attending their 6-week post-CABG surgical review at a cardiology clinic in a KZN provincial hospital. Method: Socio-demographic and clinical data were captured, with SCCs being determined by using standardised questions; cognition was assessed with the Montreal cognitive assessment (MoCA). Results: The mean age of the sample ( n = 28) was 58.72 years. The mean MoCA score was 23.96 (SD = 4.32); 60.71% ( n = 17) screening positive (< 25/30) and more likely to be older, male, hypertensive and diabetic. A third ( n = 9; 35.71%) reported at least one new SCC; their mean age was 55.36 years which was lower than those without subjective complaints (59.81). Conclusions: Subjective and objective cognitive impairments were evident in patients 6-week post-CABG surgery identifying a need for longitudinal cognitive screening both pre- and post- operatively in patients undergoing CABG surgery. Competing Interests: The authors have declared that no competing interests exist. (© 2020. The Authors.) |
| Databáze: | MEDLINE |
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