Prevalence of Cognitive Impairment in Individuals with Vascular Surgical Pathology: a Systematic Review and Meta-Analysis

Houghton, John S M; Nickinson, Andrew; Bridgwood, Bernadeta; Nduwayo, Sarah; Pepper, Coral; Rayt, Harjeet; Gray, Laura J.; Haunton, Victoria J.; Sayers, Rob

doi:10.1016/j.ejvs.2020.12.016

Cited by 19 publications

(12 citation statements)

References 69 publications

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“…Benefits of having a baseline cognitive assessment before surgery include the identification of patient frailty and length of stay, 18 response to surgery and physical outcomes, 19 postsurgical risk of morbidity and mortality, 20 prediction of mobility after amputation, 21 and the early identification of postoperative delirium. 22-24 As identified earlier, there are some factors that can influence a presurgery cognitive assessment, including pain, the presence of infection, and medications. 25 There are, however, no specific guidelines in the ACI minimum care standards as to the timing of the cognitive assessment, only that it be included.…”

Section: Discussionmentioning

confidence: 99%

Cognitive screening in persons with an amputation: A retrospective medical record audit

Dawes

Bliokas

Hewitt

et al. 2022

Prosthetics &Amp; Orthotics International

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Objective: To determine the rate of cognitive screening undertaken with patients undergoing amputation and to determine the demographics of the sample. Study design: Retrospective medical record audit. Methods: The medical records of a convenience sample of persons who had undergone amputation, upper and lower limb, from one local health district were reviewed. The sample date range was between January 1st, 2017, and December 31st, 2018. The incidence and type of cognitive screening were also recorded. Descriptive statistics were used to describe the results. Results: A total of 178 episodes of amputation care were identified during retrospective medical record auditing (mean age, 69.7 years). Thirty nine of the 178 (21.9%) episodes of care had a cognitive screening measure completed during that inpatient admission (24.2% vascular etiology and 12% nonvascular etiology). All cognitive screens were completed in persons with lower-limb amputations and were completed postoperatively. Conclusion: Cognitive screening is not a routine part of the health care journey for patients with an amputation in this health care district.

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Section: Discussionmentioning

confidence: 99%

Cognitive screening in persons with an amputation: A retrospective medical record audit

Dawes

Bliokas

Hewitt

et al. 2022

Prosthetics &Amp; Orthotics International

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“…The alarming prevalence of CI in vascular patients was corroborated in a systematic review of 24 studies, which reported a 61% prevalence in vascular patients. 17 Similarly, one study examining older patients undergoing vascular surgery found a CI prevalence of 68% among those aged 60 years and older. 16 Of those who scored positive for CI, the majority (88.3%) did not have a prior diagnosis.…”

Section: Prevalence Of CImentioning

confidence: 98%

Cognitive impairment and its adverse outcomes in older surgical patients: an under-recognized problem!

Yan

Rajji

et al. 2023

International Anesthesiology Clinics

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“…6 Despite its prevalence, POD often remains undiagnosed. 7,8 The hyperactive subtype of POD may manifest clinically as agitation, whereas the hypoactive subtype of POD presents as somnolence with altered mental status after initial emergence from general anesthesia. 9,10 Some patients oscillate between the 2 subtypes.…”

Section: Podmentioning

confidence: 99%

Preoperative cognitive screening and brain health initiatives

Abcejo

Pai

Bierle

et al. 2021

International Anesthesiology Clinics

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Although it may seem obvious that the key goals of health care are to preserve health and prolong life, elderly patients often value preservation of function. Undergoing a surgical procedure can be a physiologically demanding endeavor. Previous chapters have explored how physical conditioning in prehabilitation may improve physical functioning and recovery after surgery. Protecting mental faculties and cognition is equally (if not more) important, particularly for older patients who seek to maximize their dignity and functional independence.Although preoperative cognitive screening has been suggested for years, there is growing understanding of how best to a preoperative cognition and strategies to improve and protect brain function perioperatively. 1 Like other medical conditions, the purpose of screening is to identify at-risk patients, which triggers a series of care management tactics to preserve, and potentially improve, cognition after surgery.

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Prevalence of Cognitive Impairment in Individuals with Vascular Surgical Pathology: a Systematic Review and Meta-Analysis

Cited by 19 publications

References 69 publications

Cognitive screening in persons with an amputation: A retrospective medical record audit

Cognitive screening in persons with an amputation: A retrospective medical record audit

Cognitive impairment and its adverse outcomes in older surgical patients: an under-recognized problem!

Preoperative cognitive screening and brain health initiatives

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