Physical, cognitive, and mental function in patients with pre- and post cardiac surgery: A pre–post comparative study
Aims and Background: Cardiac surgery is a lifesaving procedure, however, it is also associated with decline in physical, cognitive, and mental function postsurgery. These impairments are found to be associated not just postsurgery but are also evident before surgery. Hence, this study aims to assess...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Heart India |
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| Online Access: | https://journals.lww.com/10.4103/heartindia.heartindia_55_24 |
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| author | Dipika Prajapati Aishwarya Nair |
| author_facet | Dipika Prajapati Aishwarya Nair |
| author_sort | Dipika Prajapati |
| collection | DOAJ |
| description | Aims and Background:
Cardiac surgery is a lifesaving procedure, however, it is also associated with decline in physical, cognitive, and mental function postsurgery. These impairments are found to be associated not just postsurgery but are also evident before surgery. Hence, this study aims to assess the changes in physical, cognitive, and mental function in patients before and after cardiac surgery.
Methods:
This was a pre–post observational study including 47 patients undergoing elective cardiac surgery. Barthel Index, Montreal Cognitive Assessment, and Hospital Anxiety and Depression Scale were used to evaluate physical, cognitive, and mental function, respectively, on 1 day before surgery, postoperative day 3 (POD 3), and POD 7.
Results:
About 68.1% of the patients were functionally independent 1 day before surgery which significantly reduced to 6.4% postsurgery. About 70% of patients already had moderate-to-severe cognitive impairment 1 day before surgery, which increased to 70.2% severe impairment on POD 3. About 40.4% of the patients had moderate anxiety 1 day before surgery that increased to 57.4% postsurgery, while 46.8% of patients had no symptoms of depression 1 day before surgery, but almost 55.3% of the patients had moderate depression postsurgery.
Conclusion:
There was a decline in physical, cognitive as well as mental function both before and after the surgery. The majority of the patients already experienced a decline in physical, cognitive, and mental function before surgery, thereby highlighting the importance of taking detailed preoperative assessment to have the complete picture of the patient’s condition. |
| format | Article |
| id | doaj-art-d1a559cf4d98481fb16fdaa3d2a955f1 |
| institution | Kabale University |
| issn | 2321-449X 2321-6638 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart India |
| spelling | doaj-art-d1a559cf4d98481fb16fdaa3d2a955f12025-01-08T12:23:37ZengWolters Kluwer Medknow PublicationsHeart India2321-449X2321-66382024-12-0112315416010.4103/heartindia.heartindia_55_24Physical, cognitive, and mental function in patients with pre- and post cardiac surgery: A pre–post comparative studyDipika PrajapatiAishwarya NairAims and Background: Cardiac surgery is a lifesaving procedure, however, it is also associated with decline in physical, cognitive, and mental function postsurgery. These impairments are found to be associated not just postsurgery but are also evident before surgery. Hence, this study aims to assess the changes in physical, cognitive, and mental function in patients before and after cardiac surgery. Methods: This was a pre–post observational study including 47 patients undergoing elective cardiac surgery. Barthel Index, Montreal Cognitive Assessment, and Hospital Anxiety and Depression Scale were used to evaluate physical, cognitive, and mental function, respectively, on 1 day before surgery, postoperative day 3 (POD 3), and POD 7. Results: About 68.1% of the patients were functionally independent 1 day before surgery which significantly reduced to 6.4% postsurgery. About 70% of patients already had moderate-to-severe cognitive impairment 1 day before surgery, which increased to 70.2% severe impairment on POD 3. About 40.4% of the patients had moderate anxiety 1 day before surgery that increased to 57.4% postsurgery, while 46.8% of patients had no symptoms of depression 1 day before surgery, but almost 55.3% of the patients had moderate depression postsurgery. Conclusion: There was a decline in physical, cognitive as well as mental function both before and after the surgery. The majority of the patients already experienced a decline in physical, cognitive, and mental function before surgery, thereby highlighting the importance of taking detailed preoperative assessment to have the complete picture of the patient’s condition.https://journals.lww.com/10.4103/heartindia.heartindia_55_24cardiac surgerycognitive dysfunctionimpairmentmental functionphysical functionpostintensive care syndrome |
| spellingShingle | Dipika Prajapati Aishwarya Nair Physical, cognitive, and mental function in patients with pre- and post cardiac surgery: A pre–post comparative study Heart India cardiac surgery cognitive dysfunction impairment mental function physical function postintensive care syndrome |
| title | Physical, cognitive, and mental function in patients with pre- and post cardiac surgery: A pre–post comparative study |
| title_full | Physical, cognitive, and mental function in patients with pre- and post cardiac surgery: A pre–post comparative study |
| title_fullStr | Physical, cognitive, and mental function in patients with pre- and post cardiac surgery: A pre–post comparative study |
| title_full_unstemmed | Physical, cognitive, and mental function in patients with pre- and post cardiac surgery: A pre–post comparative study |
| title_short | Physical, cognitive, and mental function in patients with pre- and post cardiac surgery: A pre–post comparative study |
| title_sort | physical cognitive and mental function in patients with pre and post cardiac surgery a pre post comparative study |
| topic | cardiac surgery cognitive dysfunction impairment mental function physical function postintensive care syndrome |
| url | https://journals.lww.com/10.4103/heartindia.heartindia_55_24 |
| work_keys_str_mv | AT dipikaprajapati physicalcognitiveandmentalfunctioninpatientswithpreandpostcardiacsurgeryaprepostcomparativestudy AT aishwaryanair physicalcognitiveandmentalfunctioninpatientswithpreandpostcardiacsurgeryaprepostcomparativestudy |