The effect of cimetidine and ranitidine on cognitive function in postoperative cardiac surgical patients

Kelly Y. Kim, James R. Mccartney, William Kaye, Robert J. Boland, Ray Niaura

Research output: Contribution to journalArticle

Abstract

Objective: To compare the incidence of delirium in postoperative cardiac surgical patients treated with either cimetidine or ranitidine. Method: Cardiac surgery patients were randomized to receive either cimetidine or ranitidine postoperatively. Each patient underwent three Mini-Mental Status Examinations (MMSE) and the medical record was reviewed for pertinent past medical history, laboratory data, and evidence of delirium on three occasions: one day preoperatively (before H-2 blocker was given), in the early postoperative period (while receiving the H-2 blocker); usually two days postoperatively on the day of hospital discharge (several days after the H-2 blocker had been discontinued). Results: Overall, both groups in the early postoperative period showed a significant decrease in the MMSE score (27.11 ± 4.44 to 25.38 ± 2.87, mean ± SD; t = 5.16, p < .0005), which resolved by the time of hospital discharge. There was no significant difference between cimetidine and ranitidine. Both age and preoperative MMSE score were strongly associated with the development of delirium. Conclusions: We found no significant difference between cimetidine's versus ranitidine's effect upon cognitive functioning in the postoperative cardiac surgical patient. This was true even when controlling for age and length of stay.

Original languageEnglish (US)
Pages (from-to)295-307
Number of pages13
JournalInternational Journal of Psychiatry in Medicine
Volume26
Issue number3
DOIs
StatePublished - Jan 1 1996

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Keywords

  • Mini-Mental Status Exam (MMSE)
  • cardiac surgery
  • cimetidine
  • delirium
  • histamine-2 (H-2) receptor antagonists
  • ranitidine

ASJC Scopus subject areas

  • Psychiatry and Mental health

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