Postoperative cognitive decline (no ICD-code available)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
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
Exclusion criteria: None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| How frequently do postoperative cognitive deficits (POCD) occur in patients with subclinical cerebral ischemia (SCI)? | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Does the volume of SCI correlate with the extent of POCD? 2. Are there specific cortical topographic regions with SCI associated with specific postoperative neuropsychological dysfunctions? 3. Are there specific cortical networks with SCI associated with specific postoperative neuropsychological dysfunctions? 4. Are there specific vascular territories with SCI associated with specific postoperative neuropsychological dysfunctions? 5. Are there preoperative neurocognitive impairments associated with the risk of developing postoperative SCI? 6. Are there preoperative psychopathological disorders (depression, anxiety) associated with the risk of developing postoperative SCI? 7. Does the extent of preoperative cognitive impairments correlate with the volume of SCI? 8. Which perioperative variables (duration of surgery, bypass time, clamp time) are associated with postoperative SCI? | — |
Countries
Germany
Contacts
Kerckhoff-Klinik, Heart and Brain Research Group