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.

National adult cardiac surgery audit – annual report 2010/11

The main objective of this audit is to collect information on activity, trends and outcomes in adult cardiac surgery in Great Britain and Ireland. This report presents the data for surgery performed in England and Wales up to the end of March 2011. It is aimed at healthcare professionals, medical directors, managers, clinical governance leads and the public.

Extract from National Institute for Cardiovascular Outcomes Research, University College London