Identifying postoperative cognitive dysfunction after elective coronary artery bypass graft surgery in a tertiary centre in Malaysia.

Q3 Medicine

Medical Journal of Malaysia Pub Date : 2024-07-01

S H Rahman, M Mazlan, A Suhaimi, N H M Hashim

引用次数: 0

Abstract

Postoperative cognitive dysfunction (POCD) is a significant concern, with incidences reported up to 70% following cardiac surgery. Therefore, we aim to evaluate the incidence of POCD after elective coronary artery bypass graft (CABG) surgery at our single centre over a one-year period from August 2021 to July 2022. We included 34 patients in the study and conducted serial cognitive assessments up to three months post-surgery. Interestingly, our findings indicated an absence of POCD among patients who underwent elective CABG. Reasons contributing to this outcome are multifactorial, which may include the patients' younger age, higher educational levels, lack of pre-existing neurological disorders, meticulous intraoperative cerebral saturation monitoring, and the duration of aortic crossclamp and cardiopulmonary bypass time.

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在马来西亚的一家三级医疗中心识别择期冠状动脉旁路移植手术后的认知功能障碍。

术后认知功能障碍（POCD）是一个备受关注的问题，据报道，心脏手术后认知功能障碍的发生率高达 70%。因此，我们的目标是在 2021 年 8 月至 2022 年 7 月的一年时间里，在我们的单个中心评估择期冠状动脉旁路移植术（CABG）术后认知功能障碍的发生率。我们在研究中纳入了 34 名患者，并在术后三个月内进行了连续的认知评估。有趣的是，我们的研究结果表明，接受择期心脏搭桥术的患者中没有出现 POCD。造成这一结果的原因是多方面的，其中可能包括患者年龄较小、受教育程度较高、没有预先存在的神经系统疾病、术中严格的脑饱和度监测以及主动脉交叉钳夹和心肺旁路时间的长短。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medical Journal of Malaysia Medicine-Medicine (all)

CiteScore

1.20

自引率

0.00%

发文量

165

期刊介绍： Published since 1890 this journal originated as the Journal of the Straits Medical Association. With the formation of the Malaysian Medical Association (MMA), the Journal became the official organ, supervised by an editorial board. Some of the early Hon. Editors were Mr. H.M. McGladdery (1960 - 1964), Dr. A.A. Sandosham (1965 - 1977), Prof. Paul C.Y. Chen (1977 - 1987). It is a scientific journal, published quarterly and can be found in medical libraries in many parts of the world. The Journal also enjoys the status of being listed in the Index Medicus, the internationally accepted reference index of medical journals. The editorial columns often reflect the Association''s views and attitudes towards medical problems in the country. The MJM aims to be a peer reviewed scientific journal of the highest quality. We want to ensure that whatever data is published is true and any opinion expressed important to medical science. We believe being Malaysian is our unique niche; our priority will be for scientific knowledge about diseases found in Malaysia and for the practice of medicine in Malaysia. The MJM will archive knowledge about the changing pattern of human diseases and our endeavours to overcome them. It will also document how medicine develops as a profession in the nation. We will communicate and co-operate with other scientific journals in Malaysia. We seek articles that are of educational value to doctors. We will consider all unsolicited articles submitted to the journal and will commission distinguished Malaysians to write relevant review articles. We want to help doctors make better decisions and be good at judging the value of scientific data. We want to help doctors write better, to be articulate and precise.