Are Standard Follow-Up Parameters Sufficient to Protect Neurocognitive Functions in Patients with Diabetes Mellitus who Underwent Coronary Artery Bypass Grafting?
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| Format: | Artículo científico |
| Sprache: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2020
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| _version_ | 1876454387957628928 |
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| author | Hakan Sacli |
| author_facet | Hakan Sacli |
| contents | Are Standard Follow-Up Parameters Sufficient to Protect Neurocognitive Functions in Patients with Diabetes Mellitus who Underwent Coronary Artery Bypass Grafting? Hakan Sacli Ibrahim Kara Medicina Near Infrared Spectroscopy Diabetes Mellitus Cognitive Dysfunction Objective: We aimed to compare the effectiveness of cognitive function protection between the standard follow-up parameters and advanced neuromonitoring methods in diabetic patients who underwent coronary artery bypass grafting during cardiopulmonary bypass.Methods: Study design was prospective and observational. Patients were separated into two groups, treated only with standard follow-up parameters (Group 1) and followed up with the change of regional cerebral tissue oxygenation (rSO2) by near-infrared spectroscopy (Group 2). Neurocognitive functions were evaluated preoperatively and postoperatively before discharge in all patients using the Montreal Cognitive Assessment (MoCA) test.Results: Cognitive functions of Group 2 patients in the postoperative period were significantly higher than Group 1 patients (P=0.001). The mean postoperative MoCA score of patients was significantly lower than the mean preoperative MoCA score in Group 1 (24.8±2.2 vs. 23.6±2.6, P=0.02). However, mild cognitive dysfunction was significantly lower in Group 2, compared to Group 1 (P=0.02).Conclusion: In patients followed up with standard parameters, a significant decrease in cognitive function was observed in the early period. However, the use of advanced neuromonitoring methods can significantly prevent this decrease in cognitive functions. 2020 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398964870010 https://www.redalyc.org/journal/3989/398964870010/ https://www.redalyc.org/journal/3989/398964870010/html/ https://www.redalyc.org/journal/3989/398964870010/398964870010.epub https://www.redalyc.org/journal/3989/398964870010/movil 10.21470/1678-9741-2019-0160 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.1 Vol.35 |
| format | Artículo científico |
| id | redalyc_398964870010 |
| institution | Redalyc |
| language | en |
| publishDate | 2020 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Are Standard Follow-Up Parameters Sufficient to Protect Neurocognitive Functions in Patients with Diabetes Mellitus who Underwent Coronary Artery Bypass Grafting? Hakan Sacli Medicina Near Infrared Spectroscopy Diabetes Mellitus Cognitive Dysfunction Are Standard Follow-Up Parameters Sufficient to Protect Neurocognitive Functions in Patients with Diabetes Mellitus who Underwent Coronary Artery Bypass Grafting? Hakan Sacli Ibrahim Kara Medicina Near Infrared Spectroscopy Diabetes Mellitus Cognitive Dysfunction Objective: We aimed to compare the effectiveness of cognitive function protection between the standard follow-up parameters and advanced neuromonitoring methods in diabetic patients who underwent coronary artery bypass grafting during cardiopulmonary bypass.Methods: Study design was prospective and observational. Patients were separated into two groups, treated only with standard follow-up parameters (Group 1) and followed up with the change of regional cerebral tissue oxygenation (rSO2) by near-infrared spectroscopy (Group 2). Neurocognitive functions were evaluated preoperatively and postoperatively before discharge in all patients using the Montreal Cognitive Assessment (MoCA) test.Results: Cognitive functions of Group 2 patients in the postoperative period were significantly higher than Group 1 patients (P=0.001). The mean postoperative MoCA score of patients was significantly lower than the mean preoperative MoCA score in Group 1 (24.8±2.2 vs. 23.6±2.6, P=0.02). However, mild cognitive dysfunction was significantly lower in Group 2, compared to Group 1 (P=0.02).Conclusion: In patients followed up with standard parameters, a significant decrease in cognitive function was observed in the early period. However, the use of advanced neuromonitoring methods can significantly prevent this decrease in cognitive functions. 2020 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398964870010 https://www.redalyc.org/journal/3989/398964870010/ https://www.redalyc.org/journal/3989/398964870010/html/ https://www.redalyc.org/journal/3989/398964870010/398964870010.epub https://www.redalyc.org/journal/3989/398964870010/movil 10.21470/1678-9741-2019-0160 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.1 Vol.35 |
| title | Are Standard Follow-Up Parameters Sufficient to Protect Neurocognitive Functions in Patients with Diabetes Mellitus who Underwent Coronary Artery Bypass Grafting? |
| topic | Medicina Near Infrared Spectroscopy Diabetes Mellitus Cognitive Dysfunction |
| url | https://www.redalyc.org/articulo.oa?id=398964870010 https://www.redalyc.org/journal/3989/398964870010/ https://www.redalyc.org/journal/3989/398964870010/html/ https://www.redalyc.org/journal/3989/398964870010/398964870010.epub https://www.redalyc.org/journal/3989/398964870010/movil |