Cerebral dysfunction after cardiac operations in elderly patients

Eric J. Heyer, Ellise S. Delphin, David C. Adams, Eric A. Rose, Craig R. Smith, George J. Todd, Mark Ginsburg, Rita Haggerty, Donald J. McMahon

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background.: Cerebral injury remains a significant complication of cardiac operations. We determined the incidence of cerebral dysfunction in a population of elderly patients undergoing open chamber cardiac operations (group 1) as compared with a younger population (group 2) and an age-matched group of elderly patients undergoing major noncardiac operations (group 3). Methods.: Sixty-eight patients (55 for open chamber cardiac operations and 13 for noncardiac operations) were propsectively studied. Patients were evaluated preoperatively and postoperatively before hospital discharge using a complete neurologic examination and a battery of standard neuropsychometric tests, and at surgical follow-up with neuropsychometric tests only. Results.: Postoperative changes detected by neurologic examination consisted of the appearance of new primitive reflexes in all groups. No statistically significant differences in incidence were found. The neuropsychometric performance of group 1 patients was statistically different from that of patients in groups 2 and 3 only in the early follow-up period. Conclusions.: Elderly patients having open chamber cardiac operations exhibit significantly more cerebral dysfunction in the early postoperative period than those undergoing major noncardiac operations and younger patients after open chamber procedures. These changes do not persist into the late follow-up period.

Original languageEnglish (US)
Pages (from-to)1716-1722
Number of pages7
JournalThe Annals of thoracic surgery
Volume60
Issue number6
DOIs
StatePublished - 1995
Externally publishedYes

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Neurologic Examination
Incidence
Population Groups
Postoperative Period
Reflex
Research Design
Age Groups
Wounds and Injuries
Population

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

Cite this

Cerebral dysfunction after cardiac operations in elderly patients. / Heyer, Eric J.; Delphin, Ellise S.; Adams, David C.; Rose, Eric A.; Smith, Craig R.; Todd, George J.; Ginsburg, Mark; Haggerty, Rita; McMahon, Donald J.

In: The Annals of thoracic surgery, Vol. 60, No. 6, 1995, p. 1716-1722.

Research output: Contribution to journalArticle

Heyer, EJ, Delphin, ES, Adams, DC, Rose, EA, Smith, CR, Todd, GJ, Ginsburg, M, Haggerty, R & McMahon, DJ 1995, 'Cerebral dysfunction after cardiac operations in elderly patients', The Annals of thoracic surgery, vol. 60, no. 6, pp. 1716-1722. https://doi.org/10.1016/0003-4975(95)00719-9
Heyer, Eric J. ; Delphin, Ellise S. ; Adams, David C. ; Rose, Eric A. ; Smith, Craig R. ; Todd, George J. ; Ginsburg, Mark ; Haggerty, Rita ; McMahon, Donald J. / Cerebral dysfunction after cardiac operations in elderly patients. In: The Annals of thoracic surgery. 1995 ; Vol. 60, No. 6. pp. 1716-1722.
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AU - Adams, David C.

AU - Rose, Eric A.

AU - Smith, Craig R.

AU - Todd, George J.

AU - Ginsburg, Mark

AU - Haggerty, Rita

AU - McMahon, Donald J.

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AB - Background.: Cerebral injury remains a significant complication of cardiac operations. We determined the incidence of cerebral dysfunction in a population of elderly patients undergoing open chamber cardiac operations (group 1) as compared with a younger population (group 2) and an age-matched group of elderly patients undergoing major noncardiac operations (group 3). Methods.: Sixty-eight patients (55 for open chamber cardiac operations and 13 for noncardiac operations) were propsectively studied. Patients were evaluated preoperatively and postoperatively before hospital discharge using a complete neurologic examination and a battery of standard neuropsychometric tests, and at surgical follow-up with neuropsychometric tests only. Results.: Postoperative changes detected by neurologic examination consisted of the appearance of new primitive reflexes in all groups. No statistically significant differences in incidence were found. The neuropsychometric performance of group 1 patients was statistically different from that of patients in groups 2 and 3 only in the early follow-up period. Conclusions.: Elderly patients having open chamber cardiac operations exhibit significantly more cerebral dysfunction in the early postoperative period than those undergoing major noncardiac operations and younger patients after open chamber procedures. These changes do not persist into the late follow-up period.

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