Is It Time to Redefine Cognitive Dysfunction after Cardiac Surgery? The Importance of Methodological Consistency
High incidence and significance of repercussions on patient health and healthcare system make postoperative cognitive dysfunction (POCD) a major problem following cardiac surgery. POCD frequency drops over time since surgery and its occurrence are related to different aspects of cognitive deterio...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2021-01-01
|
| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/378070 |
| _version_ | 1797206952574451712 |
|---|---|
| author | Sandro Glumac Goran Kardum Nenad Karanović |
| author_facet | Sandro Glumac Goran Kardum Nenad Karanović |
| author_sort | Sandro Glumac |
| collection | DOAJ |
| description | High incidence and significance of repercussions on patient health and healthcare
system make postoperative cognitive dysfunction (POCD) a major problem following cardiac surgery.
POCD frequency drops over time since surgery and its occurrence are related to different aspects of
cognitive deterioration that markedly impair the patient quality of life. Therefore, a substantial number
of papers have focused on this complex postoperative complication, however, with limited achievement
in clarifying it. The underlying mechanisms of POCD development and contributing factors are
still unclear. A significant issue in POCD research is the lack of uniformity in defining cognitive
impairment
among investigators, including unique terminology of cognitive changes, a battery of
appropriate
neuropsychological tests, timing of assessment, and statistical approach. Thus, the aim of
this review is to address the difficulties in establishing POCD definition, with inclusion of specific
recommendations based on recent publications. |
| first_indexed | 2024-04-24T09:15:11Z |
| format | Article |
| id | doaj.art-c3626b674628407dabf5abb3f5064b3f |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:15:11Z |
| publishDate | 2021-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-c3626b674628407dabf5abb3f5064b3f2024-04-15T17:03:34ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512021-01-0160.1.12713010.20471/acc.2021.60.01.18Is It Time to Redefine Cognitive Dysfunction after Cardiac Surgery? The Importance of Methodological ConsistencySandro Glumac0Goran Kardum1Nenad Karanović2Department of Anesthesiology and Intensive Care, Split University Hospital Centre, Split, CroatiaDepartment of Psychology, Faculty of Humanities and Social Sciences, University of Split, Split, CroatiaDepartment of Anesthesiology and Intensive Care, Split University Hospital Centre, Split, Croatia; Department of Anesthesiology and Intensive Medicine, School of Medicine, University of Split, Split, CroatiaHigh incidence and significance of repercussions on patient health and healthcare system make postoperative cognitive dysfunction (POCD) a major problem following cardiac surgery. POCD frequency drops over time since surgery and its occurrence are related to different aspects of cognitive deterioration that markedly impair the patient quality of life. Therefore, a substantial number of papers have focused on this complex postoperative complication, however, with limited achievement in clarifying it. The underlying mechanisms of POCD development and contributing factors are still unclear. A significant issue in POCD research is the lack of uniformity in defining cognitive impairment among investigators, including unique terminology of cognitive changes, a battery of appropriate neuropsychological tests, timing of assessment, and statistical approach. Thus, the aim of this review is to address the difficulties in establishing POCD definition, with inclusion of specific recommendations based on recent publications.https://hrcak.srce.hr/file/378070Cardiac surgical proceduresCardiopulmonary bypassCognition disordersCognitive dysfunctionNeuropsychological testsPostoperative complications |
| spellingShingle | Sandro Glumac Goran Kardum Nenad Karanović Is It Time to Redefine Cognitive Dysfunction after Cardiac Surgery? The Importance of Methodological Consistency Acta Clinica Croatica Cardiac surgical procedures Cardiopulmonary bypass Cognition disorders Cognitive dysfunction Neuropsychological tests Postoperative complications |
| title | Is It Time to Redefine Cognitive Dysfunction after Cardiac Surgery? The Importance of Methodological Consistency |
| title_full | Is It Time to Redefine Cognitive Dysfunction after Cardiac Surgery? The Importance of Methodological Consistency |
| title_fullStr | Is It Time to Redefine Cognitive Dysfunction after Cardiac Surgery? The Importance of Methodological Consistency |
| title_full_unstemmed | Is It Time to Redefine Cognitive Dysfunction after Cardiac Surgery? The Importance of Methodological Consistency |
| title_short | Is It Time to Redefine Cognitive Dysfunction after Cardiac Surgery? The Importance of Methodological Consistency |
| title_sort | is it time to redefine cognitive dysfunction after cardiac surgery the importance of methodological consistency |
| topic | Cardiac surgical procedures Cardiopulmonary bypass Cognition disorders Cognitive dysfunction Neuropsychological tests Postoperative complications |
| url | https://hrcak.srce.hr/file/378070 |
| work_keys_str_mv | AT sandroglumac isittimetoredefinecognitivedysfunctionaftercardiacsurgerytheimportanceofmethodologicalconsistency AT gorankardum isittimetoredefinecognitivedysfunctionaftercardiacsurgerytheimportanceofmethodologicalconsistency AT nenadkaranovic isittimetoredefinecognitivedysfunctionaftercardiacsurgerytheimportanceofmethodologicalconsistency |