• Minerva anestesiologica · May 2009

    Review

    Cognitive dysfunction after cardiovascular surgery.

    • K S Funder, J Steinmetz, and L S Rasmussen.
    • Department of Anesthesia, Center of Head and Orthopedics, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
    • Minerva Anestesiol. 2009 May 1;75(5):329-32.

    UnlabelledThis review describes the incidence, risk factors, and long-term consequences of cognitive dysfunction after cardiovascular surgery. Postoperative cognitive dysfunction (POCD) is increasingly being recognized as an important complication, especially in the elderly. A highly sensitive neuropsychological test battery must be used to detect POCD and a well-matched control group is very useful for the analysis and interpretation of the testResultsCardiovascular surgery is associated with a high incidence of POCD. Cardiopulmonary bypass was thought to explain this difference, but randomized studies comparing with off-pump coronary artery bypass surgery show contradictoryResultsPOCD seems to have important long-term consequences regarding self-assessed quality of life, survival, and labor market attachment.

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