Depression predicts cognitive and functional decline one month after coronary artery bypass graft surgery (Neuropsychiatric Outcomes After Heart Surgery study)

2020 ◽  
Author(s):  
Mark A. Oldham ◽  
I‐Hsin Lin ◽  
Keith A. Hawkins ◽  
Fang‐Yong Li ◽  
David D. Yuh ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Heart Surgery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Functional Decline ◽  
Artery Bypass Graft

scholarly journals Memory loss following coronary artery bypass graft surgery: A discussion of the implications for nursing.

2021 ◽  
Author(s):  
Suzanne Fredericks
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Heart Surgery ◽  
Nursing Practice ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Memory Loss ◽  
Common Symptom ◽  
Artery Bypass Graft

Aim: The aim of this discursive paper is to present nursing interventions that address memory loss following heart surgery and which can be incorporated into patients’ overall plan of care. Background: Coronary Artery Bypass Graft (CABG) is the most frequent surgical treatment for cardiovascular disease. Despite the advantage, reports indicate CABG procedures significantly increase the risk of cerebral impairment and/or injury which can present itself in the form of memory loss. Older individuals, who tend to be at higher risk for memory loss than other age groups, undergo CABG later in life. Age combined with the effects of the surgical procedure increases the likelihood that individuals over the age of 65 years will experience some form of memory loss following surgery. Method: This discursive paper presented a discussion of the relevance and implications of memory loss to clinical nursing practice with particular attention to strategies nurses should use when caring for patients experiencing this symptom. Relevance to clinical practice: Memory loss is a common symptom present in at least 25% of all patients following CABG. Screening for memory loss following CABG using reliable and valid instruments, revisions to current patient education initiatives to include calling patients following hospital discharge to review education and delivering education over multiple sessions, creating supportive reality-oriented relationships, and engaging in memory oriented training were suggested as nursing strategies that should be incorporated into existing nursing care for patients following CABG. Conclusion: Currently, nursing practice does not routinely incorporate assessment and management of memory loss into the overall plan of care for patients following heart surgery. Specific nursing strategies that centre on the assessment and management of memory loss need to be implemented into standard of nursing practice.

Cognitive and functional status predictors of delirium and delirium severity after coronary artery bypass graft surgery: an interim analysis of the Neuropsychiatric Outcomes After Heart Surgery study

2015 ◽  
Vol 27 (12) ◽  
pp. 1929-1938 ◽  
Author(s):  
Mark A. Oldham ◽  
Keith A. Hawkins ◽  
David D. Yuh ◽  
Michael L. Dewar ◽  
Umer M. Darr ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Functional Status ◽  
Coronary Artery Bypass ◽  
Functional Impairment ◽  
Heart Surgery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Bypass Graft ◽  
Cabg Surgery

ABSTRACTBackground:Cognitive and functional impairment increase risk for post-coronary artery bypass graft (CABG) surgery delirium (PCD), but how much impairment is necessary to increase PCD risk remains unclear.Methods:The Neuropsychiatric Outcomes After Heart Surgery (NOAHS) study is a prospective, observational cohort study of participants undergoing elective CABG surgery. Pre-operative cognitive and functional status based on Clinical Dementia Rating (CDR) scale and neuropsychological battery are assessed. We defined mild cognitive impairment (MCI) based on either (1) CDR global score 0.5 (CDR-MCI) or (2) performance 1.5 SD below population means on any cognitive domain on neurocognitive battery (MCI-NC). Delirium was assessed daily post-operative day 2 through discharge using the confusion assessment method (CAM) and delirium index (DI). We investigate whether MCI – either definition – predicts delirium or delirium severity.Results:So far we have assessed 102 participants (mean age 65.1 ± 9; male: 75%) for PCD. Twenty six participants (25%) have MCI-CDR; 38 (62% of those completing neurocognitive testing) met MCI-NC criteria. Fourteen participants (14%) developed PCD. After adjusting for age, sex, comorbidity, and education, MCI-CDR, MMSE, and Lawton IADL score predicted PCD on logistic regression (OR: 5.6, 0.6, and 1.5, respectively); MCI-NC did not (OR [95% CI]: 11.8 [0.9, 151.4]). Using similarly adjusted linear regression, MCI-CDR, MCI-NC, CDR sum of boxes, MMSE, and Lawton IADL score predicted delirium severity (adjusted R2: 0.26, 0.13, 0.21, 0.18, and 0.32, respectively).Conclusions:MCI predicts post-operative delirium and delirium severity, but MCI definition alters these relationships. Cognitive and functional impairment independently predict post-operative delirium and delirium severity.

scholarly journals Memory loss following coronary artery bypass graft surgery: A discussion of the implications for nursing.

2021 ◽  
Author(s):  
Suzanne Fredericks
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Heart Surgery ◽  
Nursing Practice ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Memory Loss ◽  
Common Symptom ◽  
Artery Bypass Graft

Aim: The aim of this discursive paper is to present nursing interventions that address memory loss following heart surgery and which can be incorporated into patients’ overall plan of care. Background: Coronary Artery Bypass Graft (CABG) is the most frequent surgical treatment for cardiovascular disease. Despite the advantage, reports indicate CABG procedures significantly increase the risk of cerebral impairment and/or injury which can present itself in the form of memory loss. Older individuals, who tend to be at higher risk for memory loss than other age groups, undergo CABG later in life. Age combined with the effects of the surgical procedure increases the likelihood that individuals over the age of 65 years will experience some form of memory loss following surgery. Method: This discursive paper presented a discussion of the relevance and implications of memory loss to clinical nursing practice with particular attention to strategies nurses should use when caring for patients experiencing this symptom. Relevance to clinical practice: Memory loss is a common symptom present in at least 25% of all patients following CABG. Screening for memory loss following CABG using reliable and valid instruments, revisions to current patient education initiatives to include calling patients following hospital discharge to review education and delivering education over multiple sessions, creating supportive reality-oriented relationships, and engaging in memory oriented training were suggested as nursing strategies that should be incorporated into existing nursing care for patients following CABG. Conclusion: Currently, nursing practice does not routinely incorporate assessment and management of memory loss into the overall plan of care for patients following heart surgery. Specific nursing strategies that centre on the assessment and management of memory loss need to be implemented into standard of nursing practice.

Noninvasive Follow-Up of Coronary Artery Bypass Graft Patency Using Multi-Slice Computed Tomography

2006 ◽  
Vol 55 (5) ◽  
pp. 451
Author(s):  
Seung Ho Joo ◽  
Byoung Wook Choi ◽  
Jae Seung Seo ◽  
Young Jin Kim ◽  
Tae Hoon Kim ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Graft Patency ◽  
Artery Bypass Graft
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