title: Neurocognitive and Psychiatric Issues Post Cardiac Surgery.
abstract: Neurocognitive and psychiatric complications are common following cardiac surgery and impact on patient quality of life, recovery from surgery, participation in rehabilitation and long-term mortality. Postoperative cognitive decline, depressive disorders, post-traumatic stress disorder and neurocognitive impairment related to silent brain infarcts have all been linked to the perioperative period of cardiac surgery, and potentially have serious consequences. The accurate assessment of these conditions, particularly in determining the aetiology, and impact on patients is difficult due to the poorly recognised nature of these complications as well as similarities in presentation with postoperative delirium. This review aims to summarise current understanding surrounding psychiatric disturbances following cardiac surgery including the impact on patient quality of life and long-term outcomes.
authors.affiliation: Sydney Medical School, The University of Sydney, Sydney, NSW, Australia; The Baird Institute of Applied Heart & Lung Surgical Research, Sydney, NSW, Australia; Sydney Translational Imaging Laboratory, Heart Research Institute, Charles Perkins Centre, University of Sydney, NSW, Australia.
authors.forename: Ben
authors.initials: B
authors.lastname: Indja
authors.affiliation: Sydney Medical School, The University of Sydney, Sydney, NSW, Australia; The Baird Institute of Applied Heart & Lung Surgical Research, Sydney, NSW, Australia; Royal Prince Alfred Institute of Academic Surgery, Sydney, NSW, Australia; Cardiothoracic Surgery Unit, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: Seco
authors.affiliation: Sunshine Coast Mental Health and Addiction Services, Sydney, NSW, Australia.
authors.forename: Richard
authors.initials: R
authors.lastname: Seamark
authors.affiliation: Macquarie University Hospital, Sydney, NSW, Australia.
authors.forename: Jason
authors.initials: J
authors.lastname: Kaplan
authors.affiliation: Sydney Medical School, The University of Sydney, Sydney, NSW, Australia; The Baird Institute of Applied Heart & Lung Surgical Research, Sydney, NSW, Australia; Royal Prince Alfred Institute of Academic Surgery, Sydney, NSW, Australia; Cardiothoracic Surgery Unit, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
authors.forename: Paul G
authors.initials: PG
authors.lastname: Bannon
authors.affiliation: Sydney Medical School, The University of Sydney, Sydney, NSW, Australia; Sydney Translational Imaging Laboratory, Heart Research Institute, Charles Perkins Centre, University of Sydney, NSW, Australia; Department of Radiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
authors.forename: Stuart M
authors.initials: SM
authors.lastname: Grieve
authors.affiliation: Sydney Medical School, The University of Sydney, Sydney, NSW, Australia; The Baird Institute of Applied Heart & Lung Surgical Research, Sydney, NSW, Australia; Royal Prince Alfred Institute of Academic Surgery, Sydney, NSW, Australia; Macquarie University Hospital, Sydney, NSW, Australia; Cardiothoracic Surgery Unit, Royal Prince Alfred Hospital, Sydney, NSW, Australia. Electronic address: michael.vallely@bigpond.com.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Vallely
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D060825:Cognitive Dysfunction / Q000209:etiology / Q000523:psychology / Q000534:rehabilitation; D003693:Delirium / Q000209:etiology / Q000523:psychology / Q000534:rehabilitation; D006801:Humans; D011788:Quality of Life; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000523:psychology / Q000534:rehabilitation
keywords: Cardiac surgical procedures; Mental disorders; Neuropsychiatry; Postoperative cognitive dysfunction