Twelve-month follow-up effects of cognitive training after heart valve surgery on cognitive functions and health-related quality of life: a randomised clinical trial.


Journal

Open heart
ISSN: 2053-3624
Titre abrégé: Open Heart
Pays: England
ID NLM: 101631219

Informations de publication

Date de publication:
27 Nov 2023
Historique:
received: 11 07 2023
accepted: 31 10 2023
medline: 29 11 2023
pubmed: 28 11 2023
entrez: 27 11 2023
Statut: epublish

Résumé

Postoperative cognitive decline (POCD) or decreased health-related quality of life (HQL) have been reported after cardiac surgery. A previous investigation showed beneficial effects of postoperative cognitive training on POCD and HQL 3 months after heart surgery. Here, we present the 12-month follow-up results. This bicentric, 1:1 randomised and treatment-as-usual controlled trial included elderly patients scheduled for elective heart valve surgery. The training consisted of paper-and-pencil-based exercises practising multiple cognitive functions for 36 min/day 6 days/week over a period of 3 weeks. Neuropsychological tests and questionnaires assessing HQL (36-Item Short Form Health Survey (SF-36)) and cognitive failures in daily living (Cognitive Failures Questionnaire) were performed presurgery and 12 months after training. Twelve months post training, the training group (n=30) showed improvements in HQL compared with the control group (n=28), especially in role limitations due to physical health (U=-2.447, p=0.015, η In conclusion, postoperative cognitive training shows enhancing effects on HQL in cardiac surgery patients after 12 months.

Identifiants

pubmed: 38011994
pii: openhrt-2023-002411
doi: 10.1136/openhrt-2023-002411
pmc: PMC10685926
pii:
doi:

Types de publication

Randomized Controlled Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Marius Butz (M)

Heart and Brain Research Group, Kerckhoff Clinic, Bad Nauheim, Germany m.butz@kerckhoff-klinik.de.
Department of Neurology, University Hospitals Giessen and Marburg Campus Giessen, Giessen, Germany.

Tibo Gerriets (T)

Heart and Brain Research Group, Kerckhoff Clinic, Bad Nauheim, Germany.
Department of Neurology, University Hospitals Giessen and Marburg Campus Giessen, Giessen, Germany.

Gebhard Sammer (G)

Heart and Brain Research Group, Kerckhoff Clinic, Bad Nauheim, Germany.
Department of Psychology, University of Giessen, Giessen, Germany.

Jasmin El-Shazly (J)

Department of Psychocardiology, Kerckhoff Clinic, Bad Nauheim, Germany.

Marlene Tschernatsch (M)

Heart and Brain Research Group, Kerckhoff Clinic, Bad Nauheim, Germany.
Department of Neurology, University Hospitals Giessen and Marburg Campus Giessen, Giessen, Germany.

Tobias Braun (T)

Heart and Brain Research Group, Kerckhoff Clinic, Bad Nauheim, Germany.
Department of Neurology, University Hospitals Giessen and Marburg Campus Giessen, Giessen, Germany.

Rolf Meyer (R)

Heart and Brain Research Group, Kerckhoff Clinic, Bad Nauheim, Germany.

Patrick Schramm (P)

Heart and Brain Research Group, Kerckhoff Clinic, Bad Nauheim, Germany.
Department of Neurology, University Hospitals Giessen and Marburg Campus Giessen, Giessen, Germany.

Thorsten R Doeppner (TR)

Department of Neurology, University Hospitals Giessen and Marburg Campus Giessen, Giessen, Germany.

Andreas Böning (A)

Department of Cardiovascular Surgery, University Hospitals Giessen and Marburg Campus Giessen, Giessen, Germany.

Thomas Mengden (T)

Department of Rehabilitation, Kerckhoff Clinic, Bad Nauheim, Germany.

Yeong-Hoon Choi (YH)

Department of Cardiac Surgery, Kerckhoff Clinic, Bad Nauheim, Germany.

Markus Schönburg (M)

Heart and Brain Research Group, Kerckhoff Clinic, Bad Nauheim, Germany.
Department of Cardiac Surgery, Kerckhoff Clinic, Bad Nauheim, Germany.

Martin Juenemann (M)

Heart and Brain Research Group, Kerckhoff Clinic, Bad Nauheim, Germany.
Department of Neurology, University Hospitals Giessen and Marburg Campus Giessen, Giessen, Germany.

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