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 deteriorat...

Full description

Saved in:
Bibliographic Details
Published in:Acta clinica Croatica (Tisak) 2021-03, Vol.60 (1), p.127-130
Main Authors: Glumac, Sandro, Kardum, Goran, Karanovic, Nenad
Format: Article
Language:English
Subjects:
Cardiac surgical procedures
Cardiopulmonary bypass
Cognition disorders
Cognitive dysfunction
Diagnosis
Heart
Neuropsychological tests
Postoperative complications
Reviews
Risk factors
Surgery
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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. Key words: Cardiac surgical procedures; Cardiopulmonary bypass; Cognition disorders; Cognitive dysfunction; Neuropsychological tests; Postoperative complications
ISSN:0353-9466
1333-9451
DOI:10.20471/acc.2021.60.01.18