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Review

Postoperative Neurocognitive Disorders in Cardiac Surgery: Investigating the Role of Intraoperative Hypotension. A Systematic Review

1
Students’ Scientific Society, Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40752 Katowice, Poland
2
Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40752 Katowice, Poland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(2), 786; https://doi.org/10.3390/ijerph18020786
Submission received: 26 October 2020 / Revised: 9 January 2021 / Accepted: 15 January 2021 / Published: 18 January 2021

Abstract

Perioperative neurocognitive disorders remain a challenging obstacle in patients after cardiac surgery, as they significantly contribute to postoperative morbidity and mortality. Identifying the modifiable risk factors and mechanisms for postoperative cognitive decline (POCD) and delirium (POD) would be an important step forward in preventing such adverse events and thus improving patients’ outcome. Intraoperative hypotension is frequently discussed as a potential risk factor for neurocognitive decline, due to its significant impact on blood flow and tissue perfusion, however the studies exploring its association with POCD and POD are very heterogeneous and present divergent results. This review demonstrates 13 studies found after structured systematic search strategy and discusses the possible relationship between intraoperative hypotension and postoperative neuropsychiatric dysfunction.
Keywords: intraoperative hypotension; cardiac surgery; postoperative delirium; postoperative cognitive decline; cognitive deficit intraoperative hypotension; cardiac surgery; postoperative delirium; postoperative cognitive decline; cognitive deficit

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MDPI and ACS Style

Czok, M.; Pluta, M.P.; Putowski, Z.; Krzych, Ł.J. Postoperative Neurocognitive Disorders in Cardiac Surgery: Investigating the Role of Intraoperative Hypotension. A Systematic Review. Int. J. Environ. Res. Public Health 2021, 18, 786. https://doi.org/10.3390/ijerph18020786

AMA Style

Czok M, Pluta MP, Putowski Z, Krzych ŁJ. Postoperative Neurocognitive Disorders in Cardiac Surgery: Investigating the Role of Intraoperative Hypotension. A Systematic Review. International Journal of Environmental Research and Public Health. 2021; 18(2):786. https://doi.org/10.3390/ijerph18020786

Chicago/Turabian Style

Czok, Marcelina, Michał P. Pluta, Zbigniew Putowski, and Łukasz J. Krzych. 2021. "Postoperative Neurocognitive Disorders in Cardiac Surgery: Investigating the Role of Intraoperative Hypotension. A Systematic Review" International Journal of Environmental Research and Public Health 18, no. 2: 786. https://doi.org/10.3390/ijerph18020786

APA Style

Czok, M., Pluta, M. P., Putowski, Z., & Krzych, Ł. J. (2021). Postoperative Neurocognitive Disorders in Cardiac Surgery: Investigating the Role of Intraoperative Hypotension. A Systematic Review. International Journal of Environmental Research and Public Health, 18(2), 786. https://doi.org/10.3390/ijerph18020786

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