Tools to screen and measure cognitive impairment after surgery and anesthesia

Vide, Sérgio; Gambús, Pedro L.

doi:10.1016/j.lpm.2018.03.010

Cited by 15 publications

(11 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…17 , 18 We favor the usage of MoCA-INA since it is superior to MMSE in detecting mild cognitive impairment. 19 , 20 MoCA-INA has a total score of 30, consisted of multiple cognitive domains: memory, attention, executive function, language, visuospatial skill, calculation, concentration, abstraction and orientation. 20 We examined the cognitive function using MoCA-INA prior to surgery, with a score less than 26 determined as cognitive impairment.…”

Section: Methodsmentioning

confidence: 99%

An Association Between C-Reactive Protein Levels and the Occurrence of Cognitive Dysfunction After Heart Valve Replacement

Nurcahyo¹,

Arifin²,

Primatika³

et al. 2021

VHRM

View full text Add to dashboard Cite

Section: Methodsmentioning

confidence: 99%

An Association Between C-Reactive Protein Levels and the Occurrence of Cognitive Dysfunction After Heart Valve Replacement

Nurcahyo¹,

Arifin²,

Primatika³

et al. 2021

VHRM

View full text Add to dashboard Cite

“…To achieve a reliable diagnosis, appropriate pre-and postoperative cognitive testing must be performed. Several tests are available to assess the cognitive function and impairment such as the mini mental state exam, Montreal cognitive assessment, Cognistat exam and Postoperative Quality Recovery Scale, as well as several computerised examinations (26). At this point, clinical evidence that suggests a new cognitive decline in postoperative patients from a pre-established baseline can qualify as POCD at the treating physician's discretion.…”

Section: Clinical Presentationmentioning

confidence: 99%

Current Perspectives on Postoperative Cognitive Dysfunction in the Ageing Population

Urits

Orhurhu

Jones

et al. 2019

Turk J Anaesthesiol Reanim

View full text Add to dashboard Cite

Postoperative cognitive dysfunction (POCD) is defined as a prolonged cognitive function impairment that occurs within weeks to months of a surgical procedure. It is especially prevalent in the elderly population, leading to increased morbidity and mortality. As anaesthetic and surgical care continues to improve and become increasingly safer, a significantly greater number of older patients have elective surgical procedures today, yet this comes with an increased POCD risk as they go through the perioperative phases. Although the pathophysiology behind the development of POCD is still under investigation, current causative mechanisms include the mode of anaesthesia administered, anaesthetic used, cerebral hypoperfusion, hyperventilation and neuroinflammation. These findings lend an insight into the importance of being cognisant of the higher likelihood of POCD in at-risk patients, including the elderly, and taking precautions to include preoperative and postoperative cognitive testing, careful monitoring during anaesthesia, blood pressure control and early treatment of postoperative complications as they arise. In this review, we provide an update on the current understanding of the pathophysiology leading to POCD, identifying risk factors, prevention and treatment strategies, with a specific focus on the elderly population.

show abstract

“…El diagnóstico del DCPO es evidentemente clínico, el estándar de oro es la evaluación neuropsicológica, la mismo que debe de ser realizado antes y después de la cirugía, con la finalidad de descartar DCL previo (25), para lo que se emplean diferentes herramientas diagnósticas (26), pudiendo clasificarse en DCPO leve, moderado y severo. Sin embargo en investigaciones sería indispensable el empleo de estudios de resonancia magnética cerebral y estudios de sangre que descarten otras posibles causas de disfunción cognitiva; así como descartar fármacos que el paciente use y que pudieran producirla.…”

Section: Diagnósticounclassified

Una complicación quirúrgica escasamente sospechada: la disfunción cognitiva postoperatoria

Lira¹,

Mar-Meza²,

Montesinos³

et al. 2018

Rev Neuropsiquiatr

View full text Add to dashboard Cite

RESUMENNumerosas enfermedades requieren como tratamiento una cirugía, ya sea de emergencia o electiva. Las cirugías pueden tener diversas complicaciones; sin embargo no se consideran las posibles alteraciones cognitivas postoperatorias: delirio del despertar anestésico, delirio postoperatorio y disfunción cognitiva postoperatoria (DCPO). La DCPO es un síndrome clínico caracterizado por alteraciones en la memoria, concentración, atención, comprensión del lenguaje e integración social posterior al uso de anestesia y cirugía que persiste después de tres meses; aunque algunos reportes consideran que no sería una entidad clínica individual. Su incidencia varía del 5,1 al 52,5% dependiendo de la población estudiada, tipo de cirugía, tiempo de la evaluación desde la cirugía y batería neuropsicológica empleada. Los factores de riesgo para DCPO son: edad avanzada, deterioro cognitivo previo, gravedad de enfermedades coexistentes, severidad de la cirugía, duración y tipo de la anestesia, ocurrencia de complicaciones y nivel educativo; siendo imprescindible la realización de una evaluación neuropsicológica antes y después de la cirugía para su diagnóstico. Los mecanismos etiopatogénicos propuestos son: la edad, cambios en la perfusión cerebral, disturbios del sueño, inflamación, efectos de los agentes anestésicos, y fundamentalmente la neuroinflamación. La DCPO es una entidad frecuente y escasamente sospechada, aunque su diagnóstico es controversial. Se sugiere que los pacientes que serán sometidos a cirugías electivas mayores, en especial las cardiacas y cerebrales, sean sometidos a evaluación neuropsicológica previa y a los 3 meses, así como a monitoreo electroencefalográfico intraoperatorio para disminuir la incidencia de DCPO.PALABRAS CLAVE: Deterioro cognitivo, disfunción cognitiva postoperatoria, complicación quirúrgica, pérdida de la memoria.

show abstract

Tools to screen and measure cognitive impairment after surgery and anesthesia

Cited by 15 publications

References 46 publications

An Association Between C-Reactive Protein Levels and the Occurrence of Cognitive Dysfunction After Heart Valve Replacement

An Association Between C-Reactive Protein Levels and the Occurrence of Cognitive Dysfunction After Heart Valve Replacement

Current Perspectives on Postoperative Cognitive Dysfunction in the Ageing Population

Una complicación quirúrgica escasamente sospechada: la disfunción cognitiva postoperatoria

Contact Info

Product

Resources

About