期刊
BRITISH JOURNAL OF ANAESTHESIA
卷 117, 期 -, 页码 52-61出版社
ELSEVIER SCI LTD
DOI: 10.1093/bja/aew361
关键词
cognition; delirium; perioperative period; surgery
资金
- International Anesthesia Research Society
- Research Career Development Core in the Johns Hopkins Pepper Older Americans Independence Center [NIA P30AG021334]
- Johns Hopkins Clinical Scientist Award
There is significant evidence that many older surgical patients experience at least a transient decrease in cognitive function. Although there is still equipoise regarding the degree, duration, and mechanism of cognitive dysfunction, there is a concurrent need to provide best-practice clinical evidence. The two major cognitive disorders seen after surgery are postoperative delirium and postoperative cognitive dysfunction. Delirium is a public health problem; millions of dollars are spent annually on delirium-related medical resource use and prolonged hospital stays. Postoperative cognitive dysfunction is a research construct that historically signifies decline in performance on a neuropsychiatric test or group of tests and begins days to weeks after surgery. This review focuses on the current state of information gathered by several interdisciplinary stake-holder groups. Although there is still a need for high-level evidence to guide clinical practice, there is an emerging literature that can guide practitioners.
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