Effects of cognitive training on cognitive function in patients after cardiac surgery: A systematic review and meta-analysis of randomized controlled trials DOI Creative Commons
Rongxiang Zhang, Chenyang Zhu, Shiqi Chen

et al.

Medicine, Journal Year: 2024, Volume and Issue: 103(44), P. e40324 - e40324

Published: Nov. 1, 2024

Background: Postoperative cognitive deficits frequently occur in patients undergoing cardiac surgery, leaving them with reduced function. Cognitive training has been shown to improve function, however, the role after surgery is unclear. In this study, we aimed evaluate effectiveness and safety of surgery. Method: A systematic search PubMed, Embase, Cochrane Library, CINAHL, Ovid Medline, Web Science, CNKI, Wanfang was conducted until March 2024. The risk bias assessed using Risk Bias Tool. Data were meta-analyzed RevMan 5.4 software. Potential reliability evidence fairly by method GRADE grading method. Results: total 16 studies involving 1335 included study. Compared control group, group had a significantly lower incidence postoperative dysfunction (RR 0.35, 95% CI 0.18–0.65, P = .001), improved function (MD 2.54, 1.27–3.81, < higher quality life-mental component 5.22, 2.32–8.13, anxiety −6.05, −10.96 −1.15, .02) depression −3.97, −7.15 −0.80, .01) between groups. However, differences not statistically significant for delirium 1, 0.38–2.65, 1.00) hospitalization −0.95, −2.90 1.00, .34). Conclusions: present based on low moderate evidence, suggests that improves functioning, reduces dysfunction, positive impact current does allow determination effects life, delirium, length stay.

Language: Английский

The impact of postoperative cognitive training on health‐related quality of life and cognitive failures in daily living after heart valve surgery: A randomized clinical trial DOI Creative Commons
Marius Butz, Tibo Gerriets, Gebhard Sammer

et al.

Brain and Behavior, Journal Year: 2023, Volume and Issue: 13(3)

Published: Feb. 13, 2023

Abstract Background Heart surgery is a risk factor for objectively and subjectively assessable postoperative cognitive decline (POCD), which relevant everyday life. The aim of this study was to investigate whether early training has an impact on health‐related quality life failures in daily living after cardiac surgery. Methods two‐arm, randomized, controlled, outcome‐blinded trial involving older patients undergoing elective heart valve with extracorporeal circulation (ECC). Recruitment took place at the Departments Cardiac Surgery Kerckhoff Clinic Bad Nauheim (Germany) University Hospital Giessen (Germany). were randomized (1:1 ratio) either paper‐and‐pencil–based group or control group. We applied Short Form Health Survey (SF‐36) Cognitive Failures Questionnaire (CFQ) prior 3 months training. Data analyzed per‐protocol fashion. Results Three discharge from rehabilitation, ( n = 31) showed improvement compared 29), especially role limitations due emotional problems U −2.649, p .008, η 2 0.121), energy fatigue F [2.55] 5.72, .020, 0.062), social functioning −2.137, .033, 0.076), average all SF‐36 factors −2.374, .018, 0.094), health change past year present time −2.378, .017, mental component summary −2.470, .013, 0.102). Conclusion As our shown beneficial effects, intervention could be promising method enhance

Language: Английский

Citations

8
Effects of Phase Ⅰ Cardiac Rehabilitation Combined with Cognitive Behavioural Therapy on Cardiac Function, Exercise Capacity and Mental Health in Patients after Aortic Valve Replacement: A Retrospective Study DOI Open Access

Zhifang Bai,

Yuping Jiang, Meiling Wang

et al.

The Heart Surgery Forum, Journal Year: 2024, Volume and Issue: 27(1), P. E048 - E057

Published: Jan. 21, 2024

Objective: To explore the application effect of phase Ⅰ cardiac rehabilitation (CR-Ⅰ) combined with cognitive behavioural therapy (CBT) on patients after aortic valve replacement (AVR). Methods: This study retrospectively analysed data 441 AVR in our hospital from January 2020 to May 2023. A total 38 who did not meet inclusion criteria were excluded. 403 included. In accordance different postoperative management schemes, included divided into reference group (n = 202, received CR-Ⅰ) and observation 201, CR-Ⅰ+CBT). The function, exercise capacity mental health two groups compared. Results: Before management, both had no significant differences left ventricular end diastolic diameter (LVEDD), systolic dimension (LVESD), ejection fraction (LVEF) six-minute walking test (6MWT) scores (p > 0.05). At discharge 3 months discharge, significantly lower LVEDD LVESD remarkably higher LVEF 6MWT than < 0.001). proportions autonomous activity bed within 3–4 days surgery, out-of-bed 8–10 surgery 200 m 12–15 distinctly 0.001) incidence adverse reactions was overtly group. difference their State-Trait Anxiety Inventory (STAI) STAI Conclusion: CR-Ⅰ CBT effectively improves independent level provides a new direction for formulation selection follow-up clinical management.

Language: Английский

Citations

1
Postoperative Delirium and Dementia in Patients Undergoing Cardiac Surgery: A Review of Randomized Controlled Trials DOI Open Access

Reza Faramarz Zadeh,

Venus Shahabi Raberi,

Morteza Solati Kooshk Qazi

et al.

Galen Medical Journal, Journal Year: 2023, Volume and Issue: 12

Published: Aug. 23, 2023

Delirium and dementia are considered to be the most significant postoperative neurocognitive complications in patients undergoing cardiac surgery, particularly those aged 60 years older, which reduces post-surgery quality of life, prolongs hospitalization, increases costs, elevated rates mortality. Nevertheless, etiology, risk factors, predictive biomarkers, have not been well elucidated particularly, with unmanifested underline cognitive impairments. The present study aimed review findings on factors increasing incidence, biomarkers delirium after describe suggested pharmacological non-pharmacological interventions.

Language: Английский

Citations

3
Twelve-month follow-up effects of cognitive training after heart valve surgery on cognitive functions and health-related quality of life: a randomised clinical trial DOI Creative Commons
Marius Butz, Tibo Gerriets, Gebhard Sammer

et al.

Open Heart, Journal Year: 2023, Volume and Issue: 10(2), P. e002411 - e002411

Published: Nov. 1, 2023

Postoperative cognitive decline (POCD) or decreased health-related quality of life (HQL) have been reported after cardiac surgery. A previous investigation showed beneficial effects postoperative training on POCD and HQL 3 months heart Here, we present the 12-month follow-up results.This bicentric, 1:1 randomised treatment-as-usual controlled trial included elderly patients scheduled for elective valve The consisted paper-and-pencil-based exercises practising multiple functions 36 min/day 6 days/week over a period weeks. Neuropsychological tests questionnaires assessing (36-Item Short Form Health Survey (SF-36)) failures in daily living (Cognitive Failures Questionnaire) were performed presurgery 12 training.Twelve post training, group (n=30) improvements compared with control (n=28), especially role limitations due to physical health (U=-2.447, p=0.015, η2=0.109), emotional problems (U=-2.245, p=0.025, η2=0.092), pain (U=-1.979, p=0.049, η2=0.068), average all SF-36 factors (U=-3.237, p<0.001, η2=0.181), change from past year time (U=-2.091, p=0.037, η2=0.075), component summary (U=-2.803, p=0.005, η2=0.138), mental (U=-2.350, p=0.018, η2=0.095). Furthermore, (n=19) an improvement (n=27) visual recognition memory (U=-2.137, p=0.034, η2=0.099). frequency was 22% (n=6) 11% (n=2) (χ²(1) =1.06, p=0.440; OR=2.43, 95% CI 0.43 13.61).In conclusion, shows enhancing surgery months.

Language: Английский

Citations

2
The effect of non-significant internal carotid artery stenoses on the results of cognitive training and electroencephalographic indicators in cardiac surgery patients DOI
D. S. Kupriyanova, И. В. Тарасова, И. Н. Кухарева

et al.

Russian neurological Journal, Journal Year: 2024, Volume and Issue: 29(4), P. 62 - 69

Published: Nov. 5, 2024

The effect of atherosclerotic lesions the carotid arteries (CA) on success cognitive function recovery procedures in cardiac patients has not been sufficiently studied. This study aims to evaluate effects rehabilitation depending presence CA stenosis after coronary artery bypass grafting (CABG) using neurophysiological indicators. Material and methods . cohort prospective involved 85 (16 them women), aged 45 75 years, admitted for elective CABG. All underwent standard clinical instrumental, neurological, extended neuropsychological examination. Results. After multi-task training, with had higher levels high-frequency beta power (13-30 Hz), while spectral alpha1 rhythm (8-10 Hz) this group was lower compared without stenosis. In case successful (absence POCD) at 11–12 days CABG, POCD, stenoses total alpha 1 — than CA. Conclusion. absence completion multi-tasking training contributed optimization brain activity an increase power. Whereas were characterized by activity, both its absence, early postoperative period may serve as a basis development special programs system.

Language: Английский

Citations

0
The impact of white matter lesions and subclinical cerebral ischemia on postoperative cognitive training outcomes after heart valve surgery: A randomized clinical trial DOI
Marius Butz, Tibo Gerriets, Gebhard Sammer

et al.

Journal of the Neurological Sciences, Journal Year: 2024, Volume and Issue: 469, P. 123370 - 123370

Published: Dec. 26, 2024

Language: Английский

Citations

0
Highlighting the latest research: February 2024 DOI

Sarah Jane Palmer,

Helen Cowan

British Journal of Cardiac Nursing, Journal Year: 2024, Volume and Issue: 19(2), P. 1 - 6

Published: Feb. 2, 2024

Sarah Jane Palmer presents a selection of recently published articles interest to nurses working in cardiovascular nursing, while Helen Cowan explores their application practice. The aim this roundup is provide brief overview the research papers selected and highlight relevance cardiac nursing A full reference provided for those who wish look at further detail.

Language: Английский

Citations

0
Effects of cognitive training on cognitive function in patients after cardiac surgery: A systematic review and meta-analysis of randomized controlled trials DOI Creative Commons
Rongxiang Zhang, Chenyang Zhu, Shiqi Chen

et al.

Medicine, Journal Year: 2024, Volume and Issue: 103(44), P. e40324 - e40324

Published: Nov. 1, 2024

Background: Postoperative cognitive deficits frequently occur in patients undergoing cardiac surgery, leaving them with reduced function. Cognitive training has been shown to improve function, however, the role after surgery is unclear. In this study, we aimed evaluate effectiveness and safety of surgery. Method: A systematic search PubMed, Embase, Cochrane Library, CINAHL, Ovid Medline, Web Science, CNKI, Wanfang was conducted until March 2024. The risk bias assessed using Risk Bias Tool. Data were meta-analyzed RevMan 5.4 software. Potential reliability evidence fairly by method GRADE grading method. Results: total 16 studies involving 1335 included study. Compared control group, group had a significantly lower incidence postoperative dysfunction (RR 0.35, 95% CI 0.18–0.65, P = .001), improved function (MD 2.54, 1.27–3.81, < higher quality life-mental component 5.22, 2.32–8.13, anxiety −6.05, −10.96 −1.15, .02) depression −3.97, −7.15 −0.80, .01) between groups. However, differences not statistically significant for delirium 1, 0.38–2.65, 1.00) hospitalization −0.95, −2.90 1.00, .34). Conclusions: present based on low moderate evidence, suggests that improves functioning, reduces dysfunction, positive impact current does allow determination effects life, delirium, length stay.

Language: Английский

Citations

0