Cognitive dysfunction after minor surgery in the elderly

Canet, Jaume; Ræder, Johan; Rasmussen, Lars S.; Enlund, Mats; Kuipers, HM Harrie; Hanning, C.D.; Jolles, J.; Korttila, K.; Siersma, VD Volkert; Dodds, Chris; Abildstrøm, Hanne; Sneyd, J. R.; Vila, P.; Johnson, Tim; Corsini, L. Muñoz; Silverstein, J. H.; Ik, Nielsen; Møller, Jes Fabricius

doi:10.1046/j.1399-6576.2003.00238.x

Cited by 268 publications

(172 citation statements)

References 18 publications

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“…At three months, however, difference was much smaller (6.6% vs. 9.9% in these studies) .The different rates of early POCD after these operations may be due to differences in the surgical process, type of anaesthesia and anaesthetic agents used (intravenous versus inhalational) as well as differences in the treatment of post-operative pain (Mann et al, 2000). Furthermore, several minor surgical operations are done in outpatients and not in an inpatient environment (Canet et al, 2003). Numerous studies suggest that both early and late POCDs are common after cardiac surgery.…”

Section: Association With Surgical Operationsmentioning

confidence: 69%

“…In one multicentre study, the incidence of POCD after minor surgery was 6.8% a week after the operation (Canet et al, 2003), whereas the frequency of POCD after major surgery reached above 25% (Moller et al, 1998). At three months, however, difference was much smaller (6.6% vs. 9.9% in these studies) .The different rates of early POCD after these operations may be due to differences in the surgical process, type of anaesthesia and anaesthetic agents used (intravenous versus inhalational) as well as differences in the treatment of post-operative pain (Mann et al, 2000).…”

Section: Association With Surgical Operationsmentioning

confidence: 99%

“…Non-modifiable patient factors Age (Shaw et al, 1987;Diijkstra et al, 1996;Roach et al, 1996;Moller et al, 1998;Abildstrom et al, 2000;Stockton et al, 2000;Ancelin et al, 2001;Newman et al, 2001;Canet et al, 2003;Monk et al, 2008;Krenk et al, 2010) Educational status status (Moller et al, 1998;Abildstrom et al, 2000;Ancelin et al, 2001;Newman et al, 2001;Monk et al, 2008) Genetic predisposition (Abildstrom et al, 2004;Heyer et al, 2005;Lelis et al, 2006).…”

Section: Factors Authorsmentioning

confidence: 99%

“…Cognitive dysfunction due to lack of normal sleep (Misra &Malow, 2008;Walker, 2008) Type of surgery POCD after minor surgery (Canet et al, 2003) POCD after major surgery (Moller et al, 1998) POCD after cardiac surgery (Pugsley et al, 1994;Newman et al, 2001;Rasmussen et al, 2001;Taggart & Westaby, 2001;Hogue et al, 2006;Jensen et al, 2006;Smith et al, 2006;Silbert et al, 2007;Van Dijk et al, 2007;Marasco et al, 2008;Evered et al, 2011) …”

Section: Metabolic Syndromementioning

confidence: 99%

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Risk Factors for the Development of Post-Operative Cognitive Dysfunction

Pappa¹,

Theodosiadis²,

Tsounis³

et al. 2016

GJHS

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Background: Many studies have shown that a large number of patients undergoing surgery show a measurable cognitive deterioration after surgery, while many of them still show cognitive deficits even three months later an operation. These specific cognitive deficits in which there is a temporal association between surgery and mental disorders are defined as postoperative impairment of cognitive function. Among cognitive disorders occurring during the postoperative period, the post-operative cognitive dysfunction (POCD) is less studied.Aim: Risk factors concerning POCD will be overviewed in order to be considered as a measure of prevention of POCD.Method: A literature search using combined keywords was undertaken on bibliographic databases including PubMed, Google Scholar and Scopus and through systematic selection 72 scientific articles were identified. Concerning the selection criteria, the material of this study consists of sources published mainly over the last fifteen years, while some articles that published before 2000 were selected because they were considered to be important.Results: These disorders frequently occur in patients of advanced age. It is obvious that as the population of humanity ages, many older people are likely to develop health problems that require surgery and therefore a large number of people are likely to develop post-operative cognitive disorders. For the appearance of POCD, as for other mental disorders (e.g. delirium), several factors are implicated. According to the findings, except the advanced age, genetic polymorphism, idiosyncratic condition, the presence of metabolic syndrome and neurological diseases, the type of anaesthesia and surgical operation and sleep disturbance are among the most important risk factors.

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Section: Association With Surgical Operationsmentioning

confidence: 69%

Section: Association With Surgical Operationsmentioning

confidence: 99%

Section: Factors Authorsmentioning

confidence: 99%

Section: Metabolic Syndromementioning

confidence: 99%

See 2 more Smart Citations

Risk Factors for the Development of Post-Operative Cognitive Dysfunction

Pappa¹,

Theodosiadis²,

Tsounis³

et al. 2016

GJHS

View full text Add to dashboard Cite

show abstract

“…Surgical interventions carried out in day care include abdominal wall, varicose vein, breast, and perianal procedures; gynecologic day care procedures include diagnostic laparoscopy, laparoscopic sterilization, diagnostic and therapeutic hysteroscopy, and vulvovaginal procedures. The patient population undergoing day surgery is no longer limited to young and healthy patients, but includes more and more patients of higher age and with comorbidity [10,11]. This may have consequences for the practice of thrombosis prophylaxis (TP) in day care.…”

mentioning

confidence: 99%