Cognitive Change 5 Years After Coronary Artery Bypass Surgery
A longitudinal study of cognitive function after coronary artery bypass surgery examined 107 participants using 11 tests, preoperatively and at 6 days, 8 weeks, and 5 years after surgery. The overall neuropsychological (NP) change score declined at 6 days, showed some recovery at 8 weeks, and declin...
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| Veröffentlicht in: | Health psychology 2003-11, Vol.22 (6), p.579-586 |
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| creator | Stygall, Jan Newman, Stanton P Fitzgerald, Geraldine Steed, Liz Mulligan, Kathleen Arrowsmith, Joseph E Pugsley, Wilfred Humphries, Steve Harrison, Michael J |
| description | A longitudinal study of cognitive function after coronary artery bypass surgery examined 107 participants using 11 tests, preoperatively and at 6 days, 8 weeks, and 5 years after surgery. The overall neuropsychological (NP) change score declined at 6 days, showed some recovery at 8 weeks, and declined again at 5 years. The number of microemboli recorded during surgery, postoperative short-term cognitive change, and degree of recovery at 8 weeks were identified as predictors of change in NP score to 5 years. This suggests that even over a 5-year period, operative damage is detectable. Patients' vulnerability to short-term deterioration and resilience or ability to recover over a few weeks from operative cerebral insult are important processes of unknown mechanisms. |
| doi_str_mv | 10.1037/0278-6133.22.6.579 |
| format | Article |
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The overall neuropsychological (NP) change score declined at 6 days, showed some recovery at 8 weeks, and declined again at 5 years. The number of microemboli recorded during surgery, postoperative short-term cognitive change, and degree of recovery at 8 weeks were identified as predictors of change in NP score to 5 years. This suggests that even over a 5-year period, operative damage is detectable. Patients' vulnerability to short-term deterioration and resilience or ability to recover over a few weeks from operative cerebral insult are important processes of unknown mechanisms.</description><identifier>ISSN: 0278-6133</identifier><identifier>EISSN: 1930-7810</identifier><identifier>DOI: 10.1037/0278-6133.22.6.579</identifier><identifier>PMID: 14640854</identifier><language>eng</language><publisher>United States: American Psychological Association</publisher><subject>Acetamides - therapeutic use ; Adolescent ; Adult ; Aged ; Cardiopulmonary Bypass - adverse effects ; Cardiopulmonary Bypass - psychology ; Cognition - physiology ; Cognition Disorders - diagnosis ; Cognition Disorders - etiology ; Cognitive Ability ; Cognitive change ; Cognitive Impairment ; Coronary Artery Bypass - adverse effects ; Coronary Artery Bypass - psychology ; Coronary artery bypass surgery ; Double-Blind Method ; Embolisms ; Female ; Followup studies ; Heart Surgery ; Human ; Humans ; Intracranial Embolism - drug therapy ; Intracranial Embolism - etiology ; Intracranial Embolism - prevention & control ; Longitudinal Studies ; Male ; Middle Aged ; Neuroprotective Agents - therapeutic use ; Neuropsychological functioning ; Neuropsychological Tests ; Neuropsychology ; Postoperative Complications - psychology ; Postoperative Period ; Prediction ; Side Effects (Treatment) ; Time Factors</subject><ispartof>Health psychology, 2003-11, Vol.22 (6), p.579-586</ispartof><rights>2003 American Psychological Association</rights><rights>2003, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a422t-84e927d00edac64fb7937956eed7dcd24fe9f71f9e7472f84d83d68eed7ef0a23</citedby><cites>FETCH-LOGICAL-a422t-84e927d00edac64fb7937956eed7dcd24fe9f71f9e7472f84d83d68eed7ef0a23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904,30979</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14640854$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Stone, Arthur A</contributor><creatorcontrib>Stygall, Jan</creatorcontrib><creatorcontrib>Newman, Stanton P</creatorcontrib><creatorcontrib>Fitzgerald, Geraldine</creatorcontrib><creatorcontrib>Steed, Liz</creatorcontrib><creatorcontrib>Mulligan, Kathleen</creatorcontrib><creatorcontrib>Arrowsmith, Joseph E</creatorcontrib><creatorcontrib>Pugsley, Wilfred</creatorcontrib><creatorcontrib>Humphries, Steve</creatorcontrib><creatorcontrib>Harrison, Michael J</creatorcontrib><title>Cognitive Change 5 Years After Coronary Artery Bypass Surgery</title><title>Health psychology</title><addtitle>Health Psychol</addtitle><description>A longitudinal study of cognitive function after coronary artery bypass surgery examined 107 participants using 11 tests, preoperatively and at 6 days, 8 weeks, and 5 years after surgery. The overall neuropsychological (NP) change score declined at 6 days, showed some recovery at 8 weeks, and declined again at 5 years. The number of microemboli recorded during surgery, postoperative short-term cognitive change, and degree of recovery at 8 weeks were identified as predictors of change in NP score to 5 years. This suggests that even over a 5-year period, operative damage is detectable. Patients' vulnerability to short-term deterioration and resilience or ability to recover over a few weeks from operative cerebral insult are important processes of unknown mechanisms.</description><subject>Acetamides - therapeutic use</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cardiopulmonary Bypass - adverse effects</subject><subject>Cardiopulmonary Bypass - psychology</subject><subject>Cognition - physiology</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - etiology</subject><subject>Cognitive Ability</subject><subject>Cognitive change</subject><subject>Cognitive Impairment</subject><subject>Coronary Artery Bypass - adverse effects</subject><subject>Coronary Artery Bypass - psychology</subject><subject>Coronary artery bypass surgery</subject><subject>Double-Blind Method</subject><subject>Embolisms</subject><subject>Female</subject><subject>Followup studies</subject><subject>Heart Surgery</subject><subject>Human</subject><subject>Humans</subject><subject>Intracranial Embolism - drug therapy</subject><subject>Intracranial Embolism - etiology</subject><subject>Intracranial Embolism - prevention & control</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neuroprotective Agents - therapeutic use</subject><subject>Neuropsychological functioning</subject><subject>Neuropsychological Tests</subject><subject>Neuropsychology</subject><subject>Postoperative Complications - psychology</subject><subject>Postoperative Period</subject><subject>Prediction</subject><subject>Side Effects (Treatment)</subject><subject>Time Factors</subject><issn>0278-6133</issn><issn>1930-7810</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0U1LwzAYB_AgipvTL-BBiogX6UzSvDQHD7P4BgMP6sFTyNonW2Vra9IK_fa2bviG4Ck85Pf8If8gdEjwmOBInmMq41CQKBpTOhZjLtUWGhIV4VDGBG-j4ScYoD3vXzDGVHG-iwaECYZjzoboIinnRV7nbxAkC1PMIeDBMxjng4mtwQVJ6crCuDaYuG5sg8u2Mt4HD42bd-M-2rFm6eFgc47Q0_XVY3IbTu9v7pLJNDSM0jqMGSgqM4whM6lgdiZVJBUXAJnM0owyC8pKYhVIJqmNWRZHmYj7a7DY0GiETte5lStfG_C1XuU-heXSFFA2XkvCKI44_xdySShlH_D4F3wpG1d0j9CCMMaZFKxDdI1SV3rvwOrK5auuDU2w7r9A9w3rvmFNqRZdvOqWjjbJzWwF2dfKpvMOnK2BqYyufJsaV-fpEnzaOAdFrRdgvsed_K1_sndEG5v6</recordid><startdate>20031101</startdate><enddate>20031101</enddate><creator>Stygall, Jan</creator><creator>Newman, Stanton P</creator><creator>Fitzgerald, Geraldine</creator><creator>Steed, Liz</creator><creator>Mulligan, Kathleen</creator><creator>Arrowsmith, Joseph E</creator><creator>Pugsley, Wilfred</creator><creator>Humphries, Steve</creator><creator>Harrison, Michael J</creator><general>American Psychological Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20031101</creationdate><title>Cognitive Change 5 Years After Coronary Artery Bypass Surgery</title><author>Stygall, Jan ; 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The overall neuropsychological (NP) change score declined at 6 days, showed some recovery at 8 weeks, and declined again at 5 years. The number of microemboli recorded during surgery, postoperative short-term cognitive change, and degree of recovery at 8 weeks were identified as predictors of change in NP score to 5 years. This suggests that even over a 5-year period, operative damage is detectable. Patients' vulnerability to short-term deterioration and resilience or ability to recover over a few weeks from operative cerebral insult are important processes of unknown mechanisms.</abstract><cop>United States</cop><pub>American Psychological Association</pub><pmid>14640854</pmid><doi>10.1037/0278-6133.22.6.579</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; APA PsycARTICLES; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Acetamides - therapeutic use Adolescent Adult Aged Cardiopulmonary Bypass - adverse effects Cardiopulmonary Bypass - psychology Cognition - physiology Cognition Disorders - diagnosis Cognition Disorders - etiology Cognitive Ability Cognitive change Cognitive Impairment Coronary Artery Bypass - adverse effects Coronary Artery Bypass - psychology Coronary artery bypass surgery Double-Blind Method Embolisms Female Followup studies Heart Surgery Human Humans Intracranial Embolism - drug therapy Intracranial Embolism - etiology Intracranial Embolism - prevention & control Longitudinal Studies Male Middle Aged Neuroprotective Agents - therapeutic use Neuropsychological functioning Neuropsychological Tests Neuropsychology Postoperative Complications - psychology Postoperative Period Prediction Side Effects (Treatment) Time Factors |
| title | Cognitive Change 5 Years After Coronary Artery Bypass Surgery |
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