Sökning: onr:"swepub:oai:DiVA.org:lnu-109497" > Cerebrovascular Res...
Fältnamn | Indikatorer | Metadata |
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000 | 06527naa a2200685 4500 | |
001 | oai:DiVA.org:lnu-109497 | |
003 | SwePub | |
008 | 220119s2021 | |||||||||||000 ||eng| | |
009 | oai:lup.lub.lu.se:22dd7848-5ae2-4cd1-a98a-128a8878e726 | |
009 | oai:DiVA.org:liu-182374 | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-1094972 URI |
024 | 7 | a https://doi.org/10.3389/fsurg.2021.6588492 DOI |
024 | 7 | a https://lup.lub.lu.se/record/22dd7848-5ae2-4cd1-a98a-128a8878e7262 URI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1823742 URI |
040 | a (SwePub)lnud (SwePub)lud (SwePub)liu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Bydén, Moau Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Fysiologiska kliniken US4 aut0 (Swepub:liu)n/a |
245 | 1 0 | a Cerebrovascular Reserve Capacity as a Predictor of Postoperative Delirium :b A Pilot Study |
264 | c 2021-12-21 | |
264 | 1 | b Frontiers Media S.A.c 2021 |
338 | a print2 rdacarrier | |
500 | a Funding Agencies|ALF Grants, Region Ostergotland [LIO-700491] | |
520 | a Introduction: Postoperative delirium is a common complication after cardiac surgery with cardiopulmonary bypass (CPB). Compromised regulation of the cerebral circulation may be a predisposing factor for delirium. However, the potential relationship between cerebrovascular reserve capacity and delirium is unknown. The aim of this study was to investigate if impaired cerebrovascular reserve capacity was associated with postoperative delirium.Methods: Forty-two patients scheduled for cardiac surgery with CPB were recruited consecutively. All patients underwent preoperative transcranial Doppler (TCD) ultrasound with calculation of breath-hold index (BHI). BHI < 0.69 indicated impaired cerebrovascular reserve capacity. In addition, patients were examined with preoperative neuropsychological tests such as MMSE (Mini Mental State Examination) and AQT (A Quick Test of cognitive speed). Postoperative delirium was assessed using Nursing Delirium Screening Scale (Nu-DESC) in which a score of >= 2 was considered as delirium.Results: Six patients (14%) scored high for postoperative delirium and all demonstrated impaired preoperative cerebrovascular reserve capacity. Median (25th-75th percentile) BHI in patients with postoperative delirium was significantly lower compared to the non-delirium group [0.26 (-0.08-0.44) vs. 0.83 (0.57-1.08), p = 0.002]. Preoperative MMSE score was lower in patients who developed postoperative delirium (median, 25th-75th percentile; 26.5, 24-28 vs. 28.5, 27-29, p = 0.024). Similarly, patients with postoperative delirium also displayed a slower performance during the preoperative cognitive speed test AQT color and form (mean +/- SD; 85.8 s +/- 19.3 vs. 69.6 s +/- 15.8, p = 0.043).Conclusion: The present findings suggest that an extended preoperative ultrasound protocol with TCD evaluation of cerebrovascular reserve capacity and neuropsychological tests may be valuable in identifying patients with increased risk of developing delirium after cardiac surgery. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng |
653 | a delirium | |
653 | a cerebrovascular reactivity | |
653 | a transcranial Doppler | |
653 | a cardiopulmonary bypass | |
653 | a mini mental state examination | |
653 | a A Quick Test of cognitive speed | |
653 | a Medicin | |
653 | a Medicine | |
653 | a A Quick Test of cognitive speed | |
653 | a cardiopulmonary bypass | |
653 | a cerebrovascular reactivity | |
653 | a delirium | |
653 | a mini mental state examination | |
653 | a transcranial Doppler | |
700 | 1 | a Segernäs Kvitting, Annau Linköpings universitet,Linköping University,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Vårdcentralen Ekholmen4 aut0 (Swepub:liu)annse67 |
700 | 1 | a Thulesius, Hansu Linnaeus University,Lunds universitet,Linnéuniversitetet,Institutionen för medicin och optometri (MEO),Lund University, Sweden,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,Lund Univ, Sweden; Linnaeus Univ, Sweden4 aut0 (Swepub:lu)smi-hth |
700 | 1 | a Vanky, Farkasu Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Thorax-kärlkliniken i Östergötland4 aut0 (Swepub:liu)farva32 |
700 | 1 | a Ahlgren, Evau Linköpings universitet,Linköping University,Institutionen för hälsa, medicin och vård,Medicinska fakulteten,Region Östergötland, Thorax-kärlkliniken i Östergötland4 aut0 (Swepub:liu)n/a |
700 | 1 | a Skoog, Johanu Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Fysiologiska kliniken US4 aut0 (Swepub:liu)johsk73 |
700 | 1 | a Zachrisson, Heleneu Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Fysiologiska kliniken US4 aut0 (Swepub:liu)helza09 |
710 | 2 | a Linköping Universityb Avdelningen för diagnostik och specialistmedicin4 org |
773 | 0 | t Frontiers in Surgeryd : Frontiers Media S.A.g 8q 8x 2296-875X |
856 | 4 | u https://doi.org/10.3389/fsurg.2021.658849y Fulltext |
856 | 4 | u https://www.frontiersin.org/articles/10.3389/fsurg.2021.658849/pdf |
856 | 4 | u http://dx.doi.org/10.3389/fsurg.2021.658849x freey FULLTEXT |
856 | 4 | u https://liu.diva-portal.org/smash/get/diva2:1630080/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-109497 |
856 | 4 8 | u https://doi.org/10.3389/fsurg.2021.658849 |
856 | 4 8 | u https://lup.lub.lu.se/record/22dd7848-5ae2-4cd1-a98a-128a8878e726 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-182374 |
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