Pre-existing cerebral infarcts as a risk factor for delirium after coronary artery bypass graft surgery

Abstract

Our findings suggested that postoperative delirium was associated with pre-existing multiple cerebral infarctions on MRI, preoperative decline in global cognitive function and ascending aortic atherosclerosis in elderly patients undergoing coronary artery bypass graft surgery and increased risk of postoperative cognitive dysfunction.

Preoperative Assessment of the Older Patient

“…Cognitive impairment may cause postoperative delirium. [5][6][7] Preoperative functional impairments limit patients' mobility. Functional impairment is an independent risk factor for postoperative complications and functional decline that may result from surgery.…”

Correction of postoperative cognitive dysfunction in cardiosurgery using computer-based stimulation programs

“…Снижение по результатам нейропсихологического те-стирования показателей на 20% от нормы в двух тестах и более расценивали как когнитивный дефицит [21].…”

Postoperative Delirium: A Review of Risk Factors and Tools of Prediction

“…Many different types of medical comorbidities have been associated with delirium including history of stroke, diabetes mellitus, atrial fibrillation, hypertension, renal dysfunction, anemia, gastritis, hypoalbuminemia, and heart failure [13][14][15][16][17][18][19]. In addition, vascular risk factors have been associated with the development of POD following cardiac surgery, including atherosclerosis [20], peripheral artery disease, cerebrovascular disease [21], carotid artery stenosis, and smoking [22]. Some classes of medications have been found to be deliriogenic when administered in the preoperative period.…”