| Online-Ressource |
Verfasst von: | Plaschke, Konstanze [VerfasserIn]  |
| Hauth, Steffen [VerfasserIn]  |
| Jansen, Claudia [VerfasserIn]  |
| Bruckner, Thomas [VerfasserIn]  |
| Schramm, Christoph [VerfasserIn]  |
| Karck, Matthias [VerfasserIn]  |
| Kopitz, Jürgen [VerfasserIn]  |
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 |
Verknüpfungen: | → Zeitschrift |
¬The¬ influence of preoperative serum anticholinergic activity and other risk factors for the development of postoperative cognitive dysfunction after cardiac surgery / Plaschke, Konstanze [VerfasserIn]; 2013 (Online-Ressource)