Cardiac surgery, cognitive dysfunction Surgery Cardiac surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged between 18 and 85 years, either sex 2. Elective or urgent cardiac surgery with cardiopulmonary bypass 3. American Society of Anaesthesiologists (ASA) grade I to IV
Exclusion criteria
Exclusion criteria: 1. Overt neurological diseases or dementia 2. Significant stenosis of the carotid arteries 3. Pregnancy 4. Disposition for malignant hyperthermia 5. Use of monoamine oxidase-inhibitors 6. Insufficient knowledge of the German language 7. Emergency indication
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Markers of myocardial, cerebral and renal damage (creatine kinase [CK]/creatine kinase myocardial bands [CK-MB], troponin, high sensitivity troponin [hsTroponin], N-terminal prohormone brain natriuretic peptide [NT-proBNP], neurone specific enolase [NSE], beta-subunit of S100 protein [S100beta], neutrophil gelatinase-associated lipocalin [NGAL], cystatin C [CysC], creatinine), measured 2, 4 and 6 days after surgery 2. Clinical outcome concerning brain, kidney and heart, recorded 6 days after surgery | — |
Primary
| Measure | Time frame |
|---|---|
| Cognitive function measured with the abbreviated mental-test (AMT), stroop-test, trail-making-test (TMT), word-lists (WL), and mood-assessment-tests on day 2, 4 and 6 after cardiac surgery | — |
Countries
Germany