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Influence of the postoperative inflammatory response on cognitive decline in elderly patients undergoing on-pump cardiac surgery: a controlled, prospective observational study

Overview of attention for article published in BMC Anesthesiology, August 2017
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Title
Influence of the postoperative inflammatory response on cognitive decline in elderly patients undergoing on-pump cardiac surgery: a controlled, prospective observational study
Published in
BMC Anesthesiology, August 2017
DOI 10.1186/s12871-017-0408-1
Pubmed ID
Authors

Endre Nemeth, Katalin Vig, Kristof Racz, Kinga B. Koritsanszky, Klara I. Ronkay, Fumiko P. Hamvas, Csaba Borbély, Ajandek Eory, Bela Merkely, Janos Gal

Abstract

The role of non-infective inflammatory response (IR) in the aetiology of postoperative cognitive dysfunction (POCD) is still controversial. The aim of this controlled, prospective observational study was to assess the possible relationship between the grade of IR, defined by procalcitonin (PCT) changes, and development of POCD related to cardiac surgery. Forty-two patients, who were ≥ 60 years of age and scheduled for elective cardiac surgery, were separated into the low inflammatory (LIR) and high inflammatory (HIR) response groups based on their PCT levels measured on the first postoperative day. A matched normative control group of 32 subjects was recruited from primary care practice. The PCT and C-reactive protein (CRP) levels were monitored daily during the first five postoperative days. The cognitive function and mood state were preoperatively tested with a set of five neurocognitive tests and two mood inventories and at the seventh postoperative day. The Reliable Change Index modified for practice (RCIp) using data from normative controls was applied to determine the significant decline in test performance. The LIR (n = 20) and HIR (n = 22) groups differed significantly in the PCT (p < 0.001) but not in the CRP time courses. The incidence of POCD at the first postoperative week was 35.7% in the cohort. The LIR and HIR groups did not vary in the RCIp Z scores of neurocognitive tests and frequencies of POCD (7 vs 8 cases, respectively, p > 0.05). Additionally, there was no difference in the mood states, anxiety levels and perioperative parameters known to influence the development of POCD. In this study, the magnitude of the non-infective inflammatory response generated by on-pump cardiac surgery did not influence the development of POCD in the early postoperative period in elderly patients.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 92 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 92 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 18 20%
Researcher 9 10%
Other 8 9%
Student > Postgraduate 8 9%
Student > Ph. D. Student 8 9%
Other 14 15%
Unknown 27 29%
Readers by discipline Count As %
Medicine and Dentistry 40 43%
Nursing and Health Professions 9 10%
Biochemistry, Genetics and Molecular Biology 2 2%
Neuroscience 2 2%
Psychology 2 2%
Other 7 8%
Unknown 30 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 August 2017.
All research outputs
#18,569,430
of 22,999,744 outputs
Outputs from BMC Anesthesiology
#1,001
of 1,509 outputs
Outputs of similar age
#242,237
of 315,948 outputs
Outputs of similar age from BMC Anesthesiology
#37
of 43 outputs
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