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Correlation between postoperative neurocognition and perioperative subclinical cerebral ischemia in cardiac surgery patients (a retrospective analysis)

Conditions
Postoperative cognitive decline (no ICD-code available)
Registration Number
DRKS00033944
Lead Sponsor
Kerckhoff-Klinik, Heart and Brain Research Group
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
332
Inclusion Criteria

Elective cardiac surgical procedure (on-pump)
- Coronary Artery Bypass Grafting (CABG)
- Aortic Valve Replacement (AVR)
- Mitral Valve Replacement/Reconstruction (MVR)
- Combination (CABG+AVR, CABG+MVR, AVR+MVR, CABG+AVR+MVR)
Good knowledge of the German language, as the neuropsychological tests are language-dependent.
Patient age > 18
Written consent from patients to participate in the study

Exclusion Criteria

None

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
How frequently do postoperative cognitive deficits (POCD) occur in patients with subclinical cerebral ischemia (SCI)?
Secondary Outcome Measures
NameTimeMethod
1.Does the volume of SCI correlate with the extent of POCD?<br>2.Are there specific cortical topographic regions with SCI associated with specific postoperative neuropsychological dysfunctions?<br>3.Are there specific cortical networks with SCI associated with specific postoperative neuropsychological dysfunctions?<br>4.Are there specific vascular territories with SCI associated with specific postoperative neuropsychological dysfunctions?<br>5.Are there preoperative neurocognitive impairments associated with the risk of developing postoperative SCI?<br>6.Are there preoperative psychopathological disorders (depression, anxiety) associated with the risk of developing postoperative SCI?<br>7.Does the extent of preoperative cognitive impairments correlate with the volume of SCI?<br>8.Which perioperative variables (duration of surgery, bypass time, clamp time) are associated with postoperative SCI?
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