Younger age is associated with greater early neurocognitive decline postcardiopulmonary bypassCentral MessagePerspective

Autor: Kelsey Anderson, BA, Olivia Ziegler, BA, Guangbin Shi, MD, MSc, Neel Sodha, MD, Ian Ikeda, BS, Jun Feng, MD, PhD, Frank Sellke, MD
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: JTCVS Open, Vol 1, Iss , Pp 1-9 (2020)
Druh dokumentu: article
ISSN: 2666-2736
DOI: 10.1016/j.xjon.2020.02.001
Popis: Objective: To examine the effect of aging on postoperative neurocognitive decline (NCD) in cardiac surgery patients. Methods: Patients undergoing coronary artery bypass graft or open aortic valve replacement were administered the Repeatable Battery for the Assessment of Neuropsychological Status at preoperative, postoperative day (POD) 4, and 1 month. Blood samples were collected at preoperative, 6 hours postoperative, and POD 4. Plasma interleukin (IL)-6, tumor necrosis factor-α, and C-reactive protein (CRP) levels were quantified. Quality of life was measured with the 12-Item Short Form Health Survey. Data were analyzed using paired ratio and unpaired t tests with Welch's correction, and linear regression for cytokine levels. Results: NCD occurred in 15 patients (N = 33, 45.5%). Dichotomized at age extremes (
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