Prevention of Early Postoperative Decline

Prevention of Early Postoperative Decline

The purpose of this trial is to determine whether using a brain training program in the time leading up to as well as after heart surgery will reduce confusion and cognitive loss that can occur after surgery.

Randomized, controlled pilot study with a convenience sample of 45 adult cardiac surgical patients. The main intervention to be studied will be the use of a neurocognitive training program (Lumosity) for 10 days preoperatively, and then for four weeks postoperatively. The prescribed regimen of training will focus on the areas of cognitive function most commonly affected in the postoperative period, including working memory, attention, and processing speed. Patients in the control arm will undergo current standard cardiac surgical postoperative care and will be asked to refrain from obtaining a Lumosity account.

Inclusion Criteria:

• Adult patients undergoing cardiac surgery age 60-90
• Cardiac surgery scheduled at least 10 days from enrollment
• High school education level or equivalent

Exclusion Criteria:

• Preexisting psychiatric illness
• History of cerebrovascular event or seizure
• Non English speakers
• Baseline severe cognitive dysfunction including Alzheimer's, Parkinson's, or other severe forms of dementia
• Significant visual impairment
• Enrollment in another study involving cognition