Review Article

Risk Factors Associated with Cognitive Decline after Cardiac Surgery: A Systematic Review

Table 2

Studies investigating POCD associated with intraoperative blood pressure variation.

StudyStudy
design
Number of
patients
Type of interventionTime of assessmentOutcome

Gold et al., 1995 [8]RCT248High (80–100 mmHg) versus low (50–60 mmHg) BP6 monthsDecline with lower BP
Siepe et al., 2011 [9]RCT92High (80–90 mmHg) versus low (60–70 mmHg) BP2 daysDecline with lower BP
Gottesman et al., 2007 [51]Obsv.15Low MAP (50–70 mmHg)3–5 days and 1 monthDecline with lower BP
Newman et al., 1995 [52]Obsv.237Low MAP (50–60 mmHg) DischargeDecline with lower BP
Charlson et al., 2007 [10]RCT412High MAP (57–90 mmHg) versus custom (capped at 90 mmHg)6 monthsNo difference in outcome

Obsv.: observational.