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Verfasst von:Plaschke, Konstanze [VerfasserIn]   i
 Hauth, Steffen [VerfasserIn]   i
 Jansen, Claudia [VerfasserIn]   i
 Bruckner, Thomas [VerfasserIn]   i
 Schramm, Christoph [VerfasserIn]   i
 Karck, Matthias [VerfasserIn]   i
 Kopitz, Jürgen [VerfasserIn]   i
Titel:The influence of preoperative serum anticholinergic activity and other risk factors for the development of postoperative cognitive dysfunction after cardiac surgery
Verf.angabe:Konstanze Plaschke, Steffen Hauth, Claudia Jansen, Thomas Bruckner, Christoph Schramm, Matthias Karck, and Jürgen Kopitz
Jahr:2013
Umfang:7 S.
Fussnoten:Available online 27 August 2012 ; Gesehen am 22.08.2018
Titel Quelle:Enthalten in: The journal of thoracic and cardiovascular surgery
Ort Quelle:Amsterdam : Elsevier, 1959
Jahr Quelle:2013
Band/Heft Quelle:145(2013), 3, Seite 805-811
ISSN Quelle:1097-685X
Abstract:Objective: Patients undergoing cardiac surgery are at risk for postoperative cognitive dysfunction (POCD). Evaluating preoperative risk factors represents 1 possible way to minimize the postoperative risk of cognitive dysfunction. We investigated marked deterioration in cholinergic neurotransmission as 1 such potential risk factor for transient and long-lasting POCD. Serum anticholinergic activity (SAA) has already been described as a risk factor for developing delirium in an elderly study population. However, the role of SAA for long-lasting POCD is unknown. Methods: Following local ethics board approval and written informed consent, we recruited a cohort of patients aged ≥ 55 years undergoing cardiac surgery. Before surgery, levels of SAA were measured and a battery of neuropsychologic tests (NPTs) was applied. S100 calcium binding protein ß concentration was measured intraoperatively. Pre-, intra-, and postoperative patient-specific characteristics were recorded. The NPTs were repeated 3 months after hospital discharge to evaluate 3-month POCD. A group of nonsurgical patients (n = 34) was recruited as control subjects to adjust NPT scores, using reliable methods for the change index. Logistic multivariate regression was used to evaluate independent predictors of POCD. Results: One hundred fifty-four patients were screened before surgery, and 117 completed the second NPT. POCD was identified in 25.6% of patients. In contrast to intraoperatively increased S100 calcium binding protein ß, preoperative SAA was not associated with POCD following adjustment for covariates. Conclusions: Preoperatively increased SAA did not predict POCD 3 months after cardiac surgery.
DOI:doi:10.1016/j.jtcvs.2012.07.043
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.1016/j.jtcvs.2012.07.043
 Volltext: http://www.sciencedirect.com/science/article/pii/S0022522312008872
 DOI: https://doi.org/10.1016/j.jtcvs.2012.07.043
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1580264700
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