Review Article

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

Table 5

RCTs investigating the efficacy of neuroprotection, or neuroprotective agents, in reducing cognitive decline after cardiac surgery.

StudyNumber of patientsType of neuroprotective drugTime of assessmentOutcome

Grieco et al., 1996 [75]29GM-100 (ganglioside) or placebo1 week and 6 monthsImproved cognition
Arrowsmith et al., 1998 [76]171Remacemide or placebo2 monthsImproved cognition
Svensson et al., 2002 [77]403Mannitol, thiopental, MgSO4, lidocaine2-3 weeksImproved cognition
Wang et al., 2002 [29]118Lidocaine or placebo9 daysImproved cognition
Uebelhack et al., 2003 [78]64Piracetam or placebo3 daysImproved cognition
Szalma et al., 2006 [79]98Piracetam or placebo6 weeksImproved cognition
Haljan et al., 2009 [80]32Erythropoietin or placeboDischarge and 2 monthsImproved cognition
Hudetz et al., 2009 [42]52Ketamine or placebo1 weekImproved cognition
Zhang et al., 2011 [81]200Benzyl alcohols or saline (placebo)Discharge and 3 monthsImproved cognition
Kong et al., 2002 [82]245Chlormethiazole/administration or placebo4–7 weeksNo difference
Taggart et al., 2003 [83]150Imidazoles: low dose (10 mg) or high dose (100 mg) or placebo5 days and 3 monthsNo difference
Mathew et al., 2004 [84]914Pexelizumab bolus, bolus plus infusion, or placebo4 days and 1 monthNo difference
Mathew et al., 2005 [73]440Hydroxymethylglutaryl-CoA reductase inhibitors6 weeksNo difference
Hogue et al., 2007 [85]17417-beta estradiol or placebo4–6 weeksNo difference
Mathew et al., 2009 [31]241Lidocaine or placebo6 weeks and 1 yearNo difference
Mitchell et al., 2009 [32]158Lidocaine or placebo10 weeks and 25 weeksNo difference
Holinski et al., 2011 [86]88Piracetam or placebo3 daysNo difference