Association of Diabetes with Greater Mid-Term Cognitive Decline After Carotid Surgery Article Swipe
Ágnes Dóra Sándor
,
Péter Márk Sikos
,
Gabriel Varinot
,
Fotis Kallinikos
,
Csongor Mánfai
,
Mandula Ifju
,
Tibor Kézi
,
Zsófia Czinege
,
András Szabó
,
Zsuzsanna Mihály
,
Péter Sótonyi
,
Andrea Székely
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/biomedicines13092188
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/biomedicines13092188
Background/Objectives: Long-term cognitive outcomes after carotid surgery are influenced by diabetes and intraoperative changes. We aimed to analyze the postoperative cognitive changes in diabetic patients and nondiabetic patients after carotid endarterectomy (CEA). Additionally, major cardiovascular and cerebrovascular events (MACCEs) and the incidence of mortality at two years after surgery were assessed. Methods: We enrolled 37 diabetic and 67 nondiabetic patients undergoing elective carotid surgery. Intraoperatively, routine monitoring was completed with NIRS (near-infrared spectroscopy) and an Entropy monitor was used for neuromonitoring. The lowest cerebral tissue saturation levels during the cross-clamp period (rSO2lowestclamp) and the degree of desaturation were calculated. We used MMSE (Mini-Mental State Examination) and MoCA (Montreal Cognitive Assessment) to assess cognitive function. Cognitive change was defined as one standard deviation (SD) change from the preoperative test scores. Results: The MMSE and MoCA were available for 103 patients at three months and for 90 patients at 12 months after discharge. Compared with nondiabetic patients, diabetic patients exhibited greater decreases in MoCA scores (p = 0.028 and p = 0.042 at the 3rd and 12th months, respectively). Cognitive improvement was lower in the DM group than in the control group at the 12th month (18.75% vs. 42.86%, respectively; p = 0.029). The mean rSO2 in the pre-clamping period (67.4% vs. 74.6% in diabetic and in nondiabetic patients, respectively; p = 0.011) was lower in diabetic patients. Furthermore, MACCEs at the 24th month were observed at a higher rate in diabetic patients (p = 0.040). Conclusions: Diabetic patients demonstrated greater risks for cognitive decline, MACCEs, and mortality at two years after surgery.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/biomedicines13092188
- https://www.mdpi.com/2227-9059/13/9/2188/pdf?version=1757304524
- OA Status
- gold
- References
- 49
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4414068707
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4414068707Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/biomedicines13092188Digital Object Identifier
- Title
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Association of Diabetes with Greater Mid-Term Cognitive Decline After Carotid SurgeryWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-09-07Full publication date if available
- Authors
-
Ágnes Dóra Sándor, Péter Márk Sikos, Gabriel Varinot, Fotis Kallinikos, Csongor Mánfai, Mandula Ifju, Tibor Kézi, Zsófia Czinege, András Szabó, Zsuzsanna Mihály, Péter Sótonyi, Andrea SzékelyList of authors in order
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https://doi.org/10.3390/biomedicines13092188Publisher landing page
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https://www.mdpi.com/2227-9059/13/9/2188/pdf?version=1757304524Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2227-9059/13/9/2188/pdf?version=1757304524Direct OA link when available
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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