Cognitive decline after heart surgery is uncommon, review finds

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Cognitive impairment after cardiovascular surgery is uncommon in older people, a systematic evidence review published in the Annals of Internal Medicine has concluded. However, the researchers said that the evidence was limited and that the individual study quality was low.

Debate surrounds the possible relation between cardiovascular interventions and subsequent cognitive outcomes in older patients. Some early studies reported a high prevalence of cognitive impairment after coronary artery bypass grafts (CABGs), for example, but later studies have suggested that any such decline predated the procedure.

Think tanks echo Confed call for transformation fund

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The health service in England needs a dedicated fund to finance and drive forward essential changes to services, a new Health Foundation and King’s Fund report has concluded, echoing long-standing calls by the NHS Confederation for such a measure.

In a detailed report published on Wednesday (22 July), the think tanks say a transformation fund would support and accelerate a shift to new models of care, as per the Forward View, and help to unlock efficiency savings.