Volume 21, Number 2 (Summer 2010)                   J Urmia Univ Med Sci 2010, 21(2): 249-253 | Back to browse issues page


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Hassani E, Mahoori A, Noroozinia H, Mehdizadeh H, Sepasi N. EVALUATION OF RISK FACTORS FOR ADVERSE NEUROLOGIC OUTCOME AFTER CARDIAC SURGERY. J Urmia Univ Med Sci. 2010; 21 (2) :249-253
URL: http://umj.umsu.ac.ir/article-1-684-en.html

Associate Professor of Anesthesia, Urmia University of Medical Sciences, Urmia, Iran , ar_mahoori@yahoo.com
Abstract:   (17377 Views)

  Hassani E [1] , Mahoori AR * [2] , Noroozinia H [3] , Mehdizadeh H [4] , Sepasi N [5]

 

  Received: 22 April, 2010 Accepted: 13 June, 2010

  Abstract

  Background & Aims : Neurologic complications following cardiac surgery result in increased morbidity and mortality. Although the incidence of overt squeal has traditionally been higher in patients undergoing isolated intracardiac procedures, recent studies show that the incidence of stroke for coronary artery bypass grafting (CABG), in the range of 1 to 4%. Postoperative cognitive deficits also area source of morbidity and occur frequently even in low-riskpatients undergoing cardiac surgery. Certain predictorshave been validated in multiple studies but have not been validated inmultiple populations.

  Materials & Methods: In a retrospective descriptive cross-sectional study we evaluate d documents of patients who had neurologic complication after open heart surgery. Demographic data, the history of previous hypertension, diabetes mellitus, stroke , perioperative conditions such as pump time, serum cratinine, blood sugar , and hematocrit were recorded. All the data were collected in patients with neurologic complications that were confirmed by consult.

  Results: Approximately 514 patients had open heart operation during May 2005-2007. Twenty one patients (4.08%) had neurologic problems during intensive care unit staying. Cerebrovascular accident occurred in 9 (1.7%) and cognitive disorders in 12 (2.33%) of patients. Five (23.8%) patients had history of diabetes mellitus, and nine (42.8%) patients had history of hypertension.

  Conclusion: Neurologic complications can occur in low risk patients after cardiac anesthesia. Some predictors were postulated but the reliability of these criteria is not clear. Further research about techniques of preventing or mitigating cerebral injury or predictors particularly in high-risk patients is needed.

  Keywords: Neurologic outcome, Cardiac surgery, Cerebrovascular accident, Cognitive deficits

 

  Address : Anesthesia Faculty, Urmia University of Medical Sciences, Urmia, Iran

  Tel: (+98)9143416531

 

  Email : ar_mahoori@yahoo.com

 

  Source: Urmia Med J 2010: 21(2): 299 ISSN: 1027-3727



  [1] Assistant Professor of Anesthesia, Urmia University of Medical Sciences, Urmia, Iran

  [2] Associate Professor of Anesthesia, Urmia University of Medical Sciences, Urmia, Iran (Correspondence Author)

  [3] Associate Professor of Anesthesia, Urmia University of Medical Sciences, Urmia, Iran

  [4] Assistant Professor of Cardiac Surgery, Urmia University of Medical Sciences, Urmia, Iran

  [5] General Practitioner

Full-Text [PDF 172 kb]   (971 Downloads)    
Type of Study: Research | Subject: آناتومی
Received: 2010/08/30

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