This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Comparison Between Prospective and Retrospective Evaluations

Kyösti A. Sotaniemi, MD, PhD

Arch Neurol. 1983;40(2):75-77.

Abstract
• The cerebral outcome of 100 consecutive patients who had cardiac valvular replacement was evaluated by comparing the results of prospective neurological examination with retrospective data. The latter showed that the overall prevalence of cerebral abnormalities was 6% (4% among survivors) up to ten days postoperatively and O% thereafter. This contrasts with the 35% (37% among survivors) obtained by careful neurological investigations that showed five patients with residual signs one year after operation. Electroencephalographic and neuropsychological studies disclosed additional patients who had subclinical involvement. The results question the reportedly ever-falling cerebral complication values claimed particularly in retrospective studies and reflect what is missed when using rough clinical criteria. There is no justification in overlooking slight clinical or even subclinical dysfunction, since the elimination of them is the only acceptable criterion of cerebral safety in cardiac operations.

Author Affiliations
From the Department of Neurology, University of Oulu, Oulu, Finland.

Footnotes
Accepted for publication April 30, 1982.

Reprint requests to Department of Neurology, University of Oulu, 90220 Oulu 22, Finland (Dr Sotaniemi).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Extracorporeal Circulation: Organ Damage
Hammon
Card Surg Adult 2008;3:389-414.
FULL TEXT  

Extracorporeal Circulation: Organ Damage
Hammon and Edmunds
Card Surg Adult 2003;2:361-388.
FULL TEXT  

Magnetic resonance imaging registration and quantitation of the brain before and after coronary artery bypass graft surgery
Kohn
Ann. Thorac. Surg. 2002;73:S363-365.
FULL TEXT  

Pharmacology and Biological Efficacy of a Recombinant, Humanized, Single-Chain Antibody C5 Complement Inhibitor in Patients Undergoing Coronary Artery Bypass Graft Surgery With Cardiopulmonary Bypass
Fitch et al.
Circulation 1999;100:2499-2506.
ABSTRACT | FULL TEXT  

Introduction
Murkin
SEMIN CARDIOTHORAC VASC ANESTH 1999;3:1-3.
 

Genetic Predictors of Perioperative Neurologic and Neuropsychological Injury and Recovery
Newman et al.
SEMIN CARDIOTHORAC VASC ANESTH 1999;3:34-46.
ABSTRACT  

Microemboli and Neurologic Dysfunction After Cardiovascular Surgery
Stump et al.
SEMIN CARDIOTHORAC VASC ANESTH 1999;3:47-54.
ABSTRACT  

Cerebral Injury After Cardiac Surgery : Identification of a Group at Extraordinary Risk
Wolman et al.
Stroke 1999;30:514-522.
ABSTRACT | FULL TEXT  

Subclinical Cerebral Complications After Coronary Artery Bypass Grafting: Prospective Analysis With Magnetic Resonance Imaging, Quantitative Electroencephalography, and Neuropsychological Assessment
Vanninen et al.
Arch Neurol 1998;55:618-627.
ABSTRACT | FULL TEXT  

Risk Factors for In-hospital Nonhemorrhagic Stroke in Patients With Acute Myocardial Infarction Treated With Thrombolysis : Results From GUSTO-I
Mahaffey et al.
Circulation 1998;97:757-764.
ABSTRACT | FULL TEXT  

Adverse Cerebral Outcomes after Coronary Bypass Surgery
Roach et al.
NEJM 1996;335:1857-1864.
ABSTRACT | FULL TEXT  

THE EFFECT OF TEMPERATURE MANAGEMENT DURING CARDIOPULMONARY BYPASS ON NEUROLOGIC AND NEUROPSYCHOLOGIC OUTCOMES IN PATIENTS UNDERGOING CORONARY REVASCULARIZATION
Mora et al.
J. Thorac. Cardiovasc. Surg. 1996;112:514-522.
ABSTRACT | FULL TEXT  

Cerebral Dysfunction After Cardiac Operations in Elderly Patients
Heyer et al.
Ann. Thorac. Surg. 1995;60:1716-1722.
ABSTRACT | FULL TEXT  

Long-Term Neurologic Outcome After Cardiac Operation
Sotaniemi
Ann. Thorac. Surg. 1995;59:1336-1339.
ABSTRACT | FULL TEXT  

Cerebral Dysfunction After Cardiac Surgery: Closing Address
Smith
Ann. Thorac. Surg. 1995;59:1359-1362.
FULL TEXT  

Stroke During Coronary Artery Bypass Grafting Using Hypothermic Versus Normothermic Perfusion
Singh et al.
Ann. Thorac. Surg. 1995;59:84-89.
ABSTRACT | FULL TEXT  

A Comparison of the Perioperative Neurologic Effects of Hypothermic Circulatory Arrest versus Low-Flow Cardiopulmonary Bypass in Infant Heart Surgery
Newburger et al.
NEJM 1993;329:1057-1064.
ABSTRACT | FULL TEXT  

The incidence and nature of neurological morbidity following cardiac surgery: a review
Shaw
Perfusion 1989;4:83-91.
 

Evaluation and Treatment of Agitation in the Intensive Care Unit
Tesar and Stern
J Intensive Care Med 1986;1:137-148.
ABSTRACT