Postoperative Cognitive Dysfunction in Heart Surgery

NCT ID: NCT05406843

Last Updated: 2022-06-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

140 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-01-01

Study Completion Date

2021-08-01

Brief Summary

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To determine the rate of Postoperative Cognitive Dysfunction (POCD) in the early and late postoperative periods by comparing the preop and postop period mini mental status tests in participants undergoing open heart surgery, and to compare the results of the investgators clinic with the world literature.

Detailed Description

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Postoperative delirium (POD) and Cognitive Dysfunction (POCD) are changes in mental status, especially in the geriatric surgery population.Unlike other forms of delirium, POD results in early full recovery.Postoperative Cognitive Dysfunction (POCD) is more difficult to define and implies temporal consciousness impairment associated with surgery.

While the diagnosis of delirium requires the detection of symptoms, the diagnosis of POCD requires preoperative neuropsychological testing and determining how much reduction will mean cognitive dysfunction. Postoperative delirium management is complex and requires multiple strategies. Methods of treating and preventing POCD are still uncertain.It is known that POCD is most commonly seen in patients undergoing open heart surgery.In this study, the investigators aim is to evaluate whether there is any change in cognitive status in the postoperative period compared to the preoperative period of participants who will undergo open heart surgery due to valve pathology or coronary stenosis.

Conditions

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Postoperative Cognitive Dysfunction

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Study Groups

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Preoperative cognitive status of participants undergoing open heart surgery

Detection of postoperative cognitive impairment is difficult and it starts with testing in the preoperative period.

In this study, it was aimed to determine postoperative cognitive impairment by comparing cognitive functions by using Minimental status test in the preoperative period in participants scheduled for open heart surgery for one year. It was planned to compare the obtained data in terms of participants undergoing valve and coronary bypass surgery, age, gender, diabetes, kidney disease, chronic obstructive pulmonary disease (COPD), surgical characteristics, bypass time, and crossclamping time.

Preoperative cognitive functions of participants undergoing open heart surgery

Intervention Type OTHER

Surgery times and cross-clamping times of the participants who will undergo open heart surgery were recorded.

Postoperative cognitive status of participants undergoing open heart surgery

Detection of postoperative cognitive impairment is difficult and it starts with testing in the preoperative period. In this study, it was aimed to determine the postoperative cognitive impairment by comparing it with the cognitive functions in the preoperative period using the Minimental status test in the postoperative period in participants scheduled for open heart surgery for a year. It was planned to compare the obtained data in terms of participants undergoing valve and coronary bypass surgery, age, gender, diabetes, kidney disease, chronic obstructive pulmonary disease (COPD), surgical characteristics, bypass time, and crossclamping time.

Postoperative cognitive functions of particiants undergoing open heart surgery

Intervention Type OTHER

Changes in mini mental test scores were recorded in the postoperative period.

Interventions

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Preoperative cognitive functions of participants undergoing open heart surgery

Surgery times and cross-clamping times of the participants who will undergo open heart surgery were recorded.

Intervention Type OTHER

Postoperative cognitive functions of particiants undergoing open heart surgery

Changes in mini mental test scores were recorded in the postoperative period.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 18-75 age
* American Society of Anesthesiologists (ASA) II-III

Exclusion Criteria

* \>75 age
* \<18 age
* Patients who died within 48 hours after the operation
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kocaeli University

OTHER

Sponsor Role lead

Responsible Party

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Huri Yeşildal

Assistant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tülay Çardaközü

Role: STUDY_DIRECTOR

Kocaeli University

Locations

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Kocaeli Üniversitesi Tıp Fakültesi Hastanesi

Kocaeli, İzmit, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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Observational

Identifier Type: -

Identifier Source: org_study_id

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