Postoperative cognitive change after cardiac surgery predicts long‐term cognitive outcome Article Swipe
Kristiina Relander
,
Marja Hietanen
,
Kirsi Rantanen
,
Juhani Rämö
,
Antti Vento
,
Kari‐Pekka Saastamoinen
,
Risto O. Roine
,
Lauri Soinne
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/brb3.1750
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/brb3.1750
Objectives Postoperative cognitive dysfunction (POCD) is a common consequence of coronary artery bypass grafting. However, domain‐specific associations between postoperative changes and long‐term performance are poorly known. The aim of this study was to investigate whether domain‐specific cognitive changes after cardiac surgery predict long‐term cognitive outcome. Materials and Methods We assessed 100 patients (86 men, mean age 60) before coronary artery bypass grafting, with re‐examinations after one week, three months, and a mean of 6.7 years. The extensive neuropsychological test battery was organized into seven functional cognitive domains. Cognitive decline and improvement were defined with the reliable change index derived from 17 matching healthy controls. Analyses were adjusted for baseline cognitive performance, age, gender, education and cardiovascular risks factors. Results On group level, one week after surgery 71% patients showed cognitive decline and 9% improvement in any functional domain, as compared to preoperative results. Three months postsurgery, decline was observed in 47% and improvement in 25% of patients. Executive functioning was the most sensitive domain to both decline and improvement. Postoperative dysfunction predicted long‐term cognitive deterioration six years after operation, particularly in the domain of executive functioning. Conclusions POCD after coronary artery bypass grafting is an essential risk factor for long‐term deterioration and an indication for neuropsychological follow‐up. Assessment of change in executive functioning after coronary artery bypass grafting may help to identify patients at risk for unfavorable long‐term outcome.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/brb3.1750
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/brb3.1750
- OA Status
- gold
- Cited By
- 58
- References
- 38
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3043341310
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3043341310Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/brb3.1750Digital Object Identifier
- Title
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Postoperative cognitive change after cardiac surgery predicts long‐term cognitive outcomeWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
-
2020-07-17Full publication date if available
- Authors
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Kristiina Relander, Marja Hietanen, Kirsi Rantanen, Juhani Rämö, Antti Vento, Kari‐Pekka Saastamoinen, Risto O. Roine, Lauri SoinneList of authors in order
- Landing page
-
https://doi.org/10.1002/brb3.1750Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/brb3.1750Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/brb3.1750Direct OA link when available
- Concepts
-
Cognitive decline, Medicine, Cognition, Neuropsychology, Postoperative cognitive dysfunction, Cardiology, Effects of sleep deprivation on cognitive performance, Cardiac surgery, Executive dysfunction, Artery, Internal medicine, Bypass grafting, Surgery, Dementia, Psychiatry, DiseaseTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
58Total citation count in OpenAlex
- Citations by year (recent)
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2025: 13, 2024: 9, 2023: 13, 2022: 14, 2021: 8Per-year citation counts (last 5 years)
- References (count)
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38Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.education | 114 |
| abstract_inverted_index.essential | 196 |
| abstract_inverted_index.executive | 185, 212 |
| abstract_inverted_index.extensive | 77 |
| abstract_inverted_index.grafting, | 62 |
| abstract_inverted_index.grafting. | 14 |
| abstract_inverted_index.organized | 82 |
| abstract_inverted_index.patients. | 157 |
| abstract_inverted_index.predicted | 172 |
| abstract_inverted_index.sensitive | 163 |
| abstract_inverted_index.Assessment | 208 |
| abstract_inverted_index.Objectives | 1 |
| abstract_inverted_index.functional | 85, 137 |
| abstract_inverted_index.indication | 204 |
| abstract_inverted_index.operation, | 179 |
| abstract_inverted_index.Conclusions | 187 |
| abstract_inverted_index.consequence | 9 |
| abstract_inverted_index.dysfunction | 4, 171 |
| abstract_inverted_index.functioning | 159, 213 |
| abstract_inverted_index.improvement | 91, 134, 153 |
| abstract_inverted_index.investigate | 34 |
| abstract_inverted_index.long‐term | 22, 43, 173, 200, 228 |
| abstract_inverted_index.performance | 23 |
| abstract_inverted_index.unfavorable | 227 |
| abstract_inverted_index.associations | 17 |
| abstract_inverted_index.follow‐up. | 207 |
| abstract_inverted_index.functioning. | 186 |
| abstract_inverted_index.improvement. | 169 |
| abstract_inverted_index.particularly | 180 |
| abstract_inverted_index.performance, | 111 |
| abstract_inverted_index.postsurgery, | 146 |
| abstract_inverted_index.preoperative | 142 |
| abstract_inverted_index.Postoperative | 2, 170 |
| abstract_inverted_index.deterioration | 175, 201 |
| abstract_inverted_index.postoperative | 19 |
| abstract_inverted_index.cardiovascular | 116 |
| abstract_inverted_index.domain‐specific | 16, 36 |
| abstract_inverted_index.re‐examinations | 64 |
| abstract_inverted_index.neuropsychological | 78, 206 |
| cited_by_percentile_year.max | 100 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5063945590 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 8 |
| corresponding_institution_ids | https://openalex.org/I133731052, https://openalex.org/I2800394112 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.49000000953674316 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.9700326 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |