Assessment of Long-Term XXXX After Off-Pump Coronary-Artery Bypass Grafting and Related Risk Factors.

@entity1 @entity4065 @entity6 @entity28 @entity73 @entity951
OBJECTIVES: To assess @entity73 after off-pump coronary-artery bypass grafting, with a particular emphasis on long-term follow-up and related risk factors. DESIGN: Prospective study. SETTING: Virgen de la Victoria University Hospital, M  laga, Spain. @entity1 : @entity1 were 36 @entity1 undergoing off-pump coronary-artery bypass grafting. MEASUREMENTS: Changes in the neuropsychological test battery administered from before to after surgery (1, 6, and 12  months). Postoperative @entity73 was defined by a significant decrease. RESULTS: A significantly multidomain (attention-executive functions, P  <  .01; immediate and delayed memory, P  <  .001; and verbal fluency, P  <  .05) postoperative @entity73 was shown, being maximum at 6  months (more than 50% of @entity1 ) and still presented at 12  months (more than 30% of @entity1 ), but partially recovered. Related risk factors as smoking (P  <  .01), @entity6 (P  <  .01), peripheral @entity4065 (P  <  .01), @entity28 (P  <  .05), lower hematocrit (P  <  .01), and hemoglobin (P  <  .05) levels and diastolic blood pressure (P  <  .05) were identified as predictors of @entity73 . Better New York Heart Association class (P  <  .01) and less severity of @entity951 (P  <  .01) were associated with partial postoperative recovering. CONCLUSION: A multidomain long-term postoperative @entity73 and a partial neurocognitive recovering were detected after off-pump coronary-artery bypass grafting and were associated with several nonspecific surgery factors. These findings may be useful when counseling @entity1 before surgery and suggest the importance of long-term neurocognitive evaluation.
