静息态网络功能连接与心脏骤停幸存者的短期整体认知功能相关。
Functional connectivity in resting-state networks relates to short-term global cognitive functioning in cardiac arrest survivors.
机构信息
Clinical Neurophysiology, TechMed Centre, University of Twente, Enschede, The Netherlands.
Department of Neurology, Rijnstate Hospital, Arnhem, The Netherlands.
出版信息
Hum Brain Mapp. 2024 Oct 15;45(15):e26769. doi: 10.1002/hbm.26769.
Long-term cognitive impairment is common in cardiac arrest survivors. Screening to identify patients at risk is recommended. Functional magnetic resonance brain imaging (fMRI) holds potential to contribute to prediction of cognitive outcomes. In this study, we investigated the possible value of early changes in resting-state networks for predicting short and long-term cognitive functioning of cardiac arrest survivors. We performed a prospective multicenter cohort study in cardiac arrest survivors in three Dutch hospitals. Resting-state fMRI scans were acquired within a month after cardiac arrest. We primarily focused on functional connectivity within the default-mode network (DMN) and salience network (SN), and additionally explored functional connectivity in seven other networks. Cognitive outcome was measured using the Montreal Cognitive Assessment (MoCA) during hospital admission and at 3 and 12 months, and by neuropsychological examination (NPE) at 12 months. We tested mixed effects models to evaluate the value of connectivity within the networks for predicting global cognitive outcomes at the three time points, and long-term cognitive outcomes in the memory, attention, and executive functioning domains. We included 80 patients (age 60 ± 11 years, 72 (90%) male). MoCA scores increased significantly between hospital admission and 3 months (ΔMoCA = 2.89, p < 0.01), but not between 3 and 12 months (ΔMoCA = 0.38, p = 0.52). Connectivity within the DMN, SN, and dorsal attention network (DAN) was positively related to global cognitive functioning during hospital admission (β = 0.85, p = 0.03; β = 1.48, p < 0.01; β = 0.96, p = 0.01), but not at 3 and 12 months. Network connectivity was also unrelated to long-term memory, attention, or executive functioning. Resting-state functional connectivity in the DMN, SN, and DAN measured in the first month after cardiac arrest is related to short-term global, but not long-term global or domain-specific cognitive performance of survivors. These results do not support the value of functional connectivity within these RSNs for prediction of long-term cognitive performance after cardiac arrest.
心脏骤停幸存者常存在长期认知障碍。推荐进行风险筛查以识别高危患者。功能磁共振脑成像(fMRI)有望为预测认知结局提供帮助。本研究旨在探讨心脏骤停幸存者静息态网络早期改变预测其短期和长期认知功能的潜在价值。这是一项在荷兰三家医院进行的前瞻性多中心队列研究。心脏骤停后一个月内进行静息态 fMRI 扫描。我们主要关注默认模式网络(DMN)和突显网络(SN)内的功能连接,此外还探索了七个其他网络的功能连接。使用蒙特利尔认知评估(MoCA)在住院期间以及 3 个月和 12 个月时进行认知结局评估,并在 12 个月时进行神经心理学检查(NPE)。我们采用混合效应模型来评估网络内连接对三个时间点整体认知结局的预测价值,并评估其对记忆、注意力和执行功能领域的长期认知结局的预测价值。共纳入 80 例患者(年龄 60±11 岁,72 例(90%)男性)。MoCA 评分在住院期间至 3 个月时显著升高(ΔMoCA=2.89,p<0.01),但在 3 个月至 12 个月时无显著变化(ΔMoCA=0.38,p=0.52)。DMN、SN 和背侧注意网络(DAN)内的连接与住院期间的整体认知功能呈正相关(β=0.85,p=0.03;β=1.48,p<0.01;β=0.96,p=0.01),但在 3 个月和 12 个月时无相关性。网络连接与长期记忆、注意力或执行功能也无相关性。心脏骤停后第一个月内测量的 DMN、SN 和 DAN 的静息态功能连接与幸存者的短期整体认知功能相关,但与长期整体认知功能或特定领域认知功能无关。这些结果不支持这些 RSN 内功能连接用于预测心脏骤停后长期认知功能的价值。
相似文献
Brain Imaging Behav. 2024-6
引用本文的文献
Resusc Plus. 2025-2-21
本文引用的文献
Brain. 2023-9-1
Brain Commun. 2023-3-30
Front Aging Neurosci. 2022-5-26
Neurocrit Care. 2022-8