†These authors contributed equally.
Academic Editor: Jerome L. Fleg
Background: To assess whether intraoperative monitoring and
intervention of regional cerebral oxygen saturation levels can reduce the
incidence of postoperative cognitive dysfunction in patients undergoing
cardiovascular surgery and contribute to patient prognosis. Methods: The
Cochrane Library, PubMed, and the Web of Science were systematically searched for
relevant randomized controlled trials involving the effects of cerebral oxygen
saturation on the cognitive function of patients after cardiovascular surgery
from January 1, 2000 to May 1, 2022. The primary outcome was the incidence of
postoperative cognitive dysfunction. The secondary outcomes were length of
hospital stay, length of intensive care unit (ICU) stay, length of mechanical ventilation, length of
cardiopulmonary bypass, and other major postoperative outcomes such as renal
failure, infection, arrhythmia, hospital mortality, and stroke. Data were pooled
using the risk ratio or standardized mean difference with 95% confidence
interval (CI). The original study protocol was registered prospectively with
PROSPERO (CRD42020178068). Results: A total of 13 randomized controlled
trials involving 1669 cardiovascular surgery patients were included. Compared
with the control group, the risk of postoperative cognitive dysfunction was
significantly lower in the intervention group (RR = 0.50; 95% CI: 0.30 to 0.85;
p = 0.01; I