Open AccessPrevention of Early Postoperative Decline: A Randomized, Controlled Feasibility Trial of Perioperative Cognitive Training
Author(s) -
Brian O’Gara,
Ariel Mueller,
Doris Gasangwa,
Melissa Patxot,
Shahzad Shaefi,
Kamal R. Khabbaz,
Valerie BannerGoodspeed,
Alvaro Pascal-Leone,
Edward R. Marcantonio,
Balachundhar Subramaniam
Publication year - 2020
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000004469
Subject(s) - medicine , perioperative , delirium , postoperative cognitive dysfunction , interquartile range , randomized controlled trial , incidence (geometry) , anesthesia , prehabilitation , surgery , cognition , physical therapy , intensive care medicine , psychiatry , physics , optics
Postoperative delirium and postoperative cognitive dysfunction (POCD) are common after cardiac surgery and contribute to an increased risk of postoperative complications, longer length of stay, and increased hospital mortality. Cognitive training (CT) may be able to durably improve cognitive reserve in areas deficient in delirium and POCD and, therefore, may potentially reduce the risk of these conditions. We sought to determine the feasibility and potential efficacy of a perioperative CT program to reduce the incidence of postoperative delirium and POCD in older cardiac surgery patients.