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Published on: February 27, 2018
Neurocognitive and Psychiatric Issues Post Cardiac Surgery
Ben Indja1, Michael Seco2, Richard Seamark3
1Sydney Medical School, The University of Sydney, Sydney, NSW, Australia; The Baird Institute of Applied Heart & Lung Surgical Research, Sydney, NSW, Australia; Sydney Translational Imaging Laboratory, Heart Research Institute, Charles Perkins Centre, University of Sydney, NSW, Australia.
Insights
Cardiac surgery can lead to neurocognitive and psychiatric issues, affecting recovery and long-term health. Early recognition and management of these complications are crucial for improving patient outcomes.
Area of Science:
- Cardiology
- Neurology
- Psychiatry
Background:
- Neurocognitive and psychiatric complications are frequent after cardiac surgery.
- These issues significantly impact patient quality of life, surgical recovery, rehabilitation, and survival.
- Conditions include postoperative cognitive decline, depression, PTSD, and silent brain infarcts.
Purpose of the Study:
- To review current knowledge on psychiatric disturbances post-cardiac surgery.
- To highlight the impact on patient quality of life and long-term outcomes.
- To address challenges in diagnosing these conditions due to their subtle nature and overlap with delirium.
Main Methods:
- Literature review of studies on neurocognitive and psychiatric complications after cardiac surgery.
- Analysis of the presentation, etiology, and impact of these conditions.
- Synthesis of current understanding regarding patient outcomes.
Main Results:
- Cardiac surgery is associated with a range of neurocognitive and psychiatric issues.
- Accurate assessment is challenging due to poor recognition and symptom overlap with delirium.
- These complications have serious consequences for patients' well-being and survival.
Conclusions:
- Psychiatric disturbances are a significant concern following cardiac surgery.
- Further research is needed to improve diagnosis and management.
- Addressing these complications is vital for enhancing patient recovery and long-term prognosis.
Abstract:
Neurocognitive and psychiatric complications are common following cardiac surgery and impact on patient quality of life, recovery from surgery, participation in rehabilitation and long-term mortality. Postoperative cognitive decline, depressive disorders, post-traumatic stress disorder and neurocognitive impairment related to silent brain infarcts have all been linked to the perioperative period of cardiac surgery, and potentially have serious consequences. The accurate assessment of these conditions, particularly in determining the aetiology, and impact on patients is difficult due to the poorly recognised nature of these complications as well as similarities in presentation with postoperative delirium. This review aims to summarise current understanding surrounding psychiatric disturbances following cardiac surgery including the impact on patient quality of life and long-term outcomes.
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