The quality of life of patients developed delirium after coronary artery bypass grafting is determined by cognitive function after discharge: A cross‐sectional study

Chen, Yuling; Ding, Shilei; Tao, Xiangjun; Feng, Xinwei; Shen, Yutao; Wu, Ying; An, Xiangguang

doi:10.1111/ijn.12563

Cited by 10 publications

(11 citation statements)

References 54 publications

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“…The former, which is considered a strong predictor of POCD development, usually occurs within the first 3 postoperative days [14,15]. However, POCD occurs at the end of the first week and has no effect on consciousness, and its duration may be significantly prolonged [16,17].…”

Section: Introductionmentioning

confidence: 99%

Postoperative Cognitive Decline After Cardiac Surgery: A Narrative Review of Current Knowledge in 2019

2019

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The growing number of publications concerning postoperative cognitive decline (POCD) after cardiac surgery is indicative of the health-related and economic-related importance of this intriguing issue. Significantly, the reported POCD incidence over the years has remained steady due to various unresolved challenges regarding the examination of this multidisciplinary topic. In particular, a universally accepted POCD definition has not been established, and the pathogenesis is still vaguely understood. However, numerous recent studies have focused on the role of the inflammatory response to a surgical procedure in POCD occurrence. Therefore, this traditional narrative review summarizes and evaluates the latest findings, with special attention paid to the difficulties of defining POCD as well as the involvement of inflammation in POCD development. We searched the MEDLINE, Scopus, PsycINFO and CENTRAL databases for the best evidence, which was classified according to the Oxford Centre for Evidence-based Medicine. To our knowledge, this is the first narrative review that identified class-1 evidence (systematic review of randomized trials), although most evidence is still at class-2 or below. Furthermore, we revealed that defining POCD is a very controversial matter and that the inflammatory response plays an important role in the mutually overlapping processes included in POCD development. Thus, developing the definition of POCD represents an absolute priority in POCD investigations, and the inflammatory response to cardiac surgery merits further research.

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Section: Introductionmentioning

confidence: 99%

Postoperative Cognitive Decline After Cardiac Surgery: A Narrative Review of Current Knowledge in 2019

2019

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“…Also, Najafi, Sheikhvatan, Montazeri, and Sheikhfathollahi (2008) found that older patients had a higher score in the psychological dimension of HRQoL. In contrast, Chen et al (2017) patients had higher levels of depression than males, and Lavdaniti et al (2015) reported that social role was affected by both the gender and the occupational status of the patients.…”

Section: Discussionmentioning

confidence: 99%

Prior percutaneous coronary intervention is associated with low health‐related quality of life after coronary artery bypass graft

Ejheisheh

Correa‐Rodríguez

Fernández-Aparicio

et al. 2020

Nursing & Health Sciences

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The success of a coronary artery bypass graft surgery has been shown to be related to health-related quality of life, and being able to predict this is extremely useful. We investigate the associations between health-related quality of life and sociodemographic and clinical characteristics, and examine the impact of prior percutaneous coronary interventions on health-related quality of life in Palestinian patients undergoing a coronary artery bypass graft for the first time. A cross-sectional study was conducted on a convenience sample of 119 Palestinian patients. The Short Form-36 Health Survey was applied 1 year after the coronary artery bypass graft surgery. An analysis of variance shows that as age increases, health-related quality of life decreases. In contrast, the higher the level of education, job security, and salary, the higher the health-related quality of life. Patients who had undergone prior percutaneous endovascular interventions had a worse health-related quality of life than those who had not. In conclusion, a history of prior percutaneous endovascular interventions in addition to sociodemographic factors should be considered by nursing staff so that they can deliver high-quality patient care. K E Y W O R D S coronary artery bypass graft, nursing care, Palestine, percutaneous coronary intervention, quality of life 1 | INTRODUCTION Cardiovascular diseases (CVDs) are the most common cause of death around the world, and are predicted to remain so until 2030

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“…In fact, there are few studies on the medium-term and long-term consequences of POCD and POD on patients' QOL and autonomy. 12,13 In addition, with regard to heart surgery, cognitive changes are still mainly studied in the framework of coronary artery bypass graft. 12 The main objective of this study was to evaluate the role of POD in poor evolution at three years after cardiac surgery including poor QOL and dependence and mortality.…”

Section: Introductionmentioning

confidence: 99%

“…12,13 In addition, with regard to heart surgery, cognitive changes are still mainly studied in the framework of coronary artery bypass graft. 12 The main objective of this study was to evaluate the role of POD in poor evolution at three years after cardiac surgery including poor QOL and dependence and mortality. Then, we researched factors, which explicated a poor patient evolution, especially influence of postoperative cognitive trajectories.…”

Section: Introductionmentioning

confidence: 99%

<p>Postoperative Delirium is a Risk Factor of Poor Evolution Three Years After Cardiac Surgery: An Observational Cohort Study</p>

Labaste

Porterie

Bousquet

et al. 2020

CIA

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Background After cardiac surgery, postoperative delirium (POD) is common and is associated with long-term changes in cognitive function. Impact on health-related quality of life (QOL) and long-term dependence are not well known. This aim of this study is to evaluate the role of POD in poor evolution at three years after surgery including poor QOL and dependence and mortality. Patients and Methods We enrolled and followed 173 patients 60 years of age or older who were planning to undergo cardiac surgery with cardiopulmonary bypass. The primary composite outcome was death of any causes, or patients with either a loss of QOL (evaluated with of EuroQuol verbal 5D EQ5D less than 50), or a loss of two points on the instrumental activities of daily living occurring three years after surgery. POD was diagnosed with the use of Confusion Assessment Method. Multivariate logistic regression was performed. Results At three years, 74 patients (42.8%) had a poor evolution. Independent risk factors in poor patient evolution were sex (female gender; OR: 3.6; 95%CI: 1.45–8.7; p =0.006), metabolic status (diabetic patients; OR: 4; 95%CI: 1.6–10.2; p =0.002), Euroscore 2 (Euroscore 2 >1.5; OR: 5.2; 95%CI: 1.7–15.4; p =0.003) and POD (OR: 3.3; 95%CI 1.4–7.8; p =0.006). Coronary disease was protective (OR: 0.3; 95%CI: 0.14–0.71; p =0.006). Conclusion After cardiac surgery, POD significantly altered patient evolution and increased risk of dependence and loss of QOL.

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The quality of life of patients developed delirium after coronary artery bypass grafting is determined by cognitive function after discharge: A cross‐sectional study

Abstract: The QoL of patients developed delirium after CABG is determined by cognitive function after discharge. Necessary strategies should be implemented to prevent POD and declined cognitive function, especially in elderly patients.

Cited by 10 publications

References 54 publications

Postoperative Cognitive Decline After Cardiac Surgery: A Narrative Review of Current Knowledge in 2019

Postoperative Cognitive Decline After Cardiac Surgery: A Narrative Review of Current Knowledge in 2019

Prior percutaneous coronary intervention is associated with low health‐related quality of life after coronary artery bypass graft

<p>Postoperative Delirium is a Risk Factor of Poor Evolution Three Years After Cardiac Surgery: An Observational Cohort Study</p>

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