Perioperative neurocognitive disorder as a geriatric syndrome
Authors:
Nekvindová Klára 1,2; Ivanová Kateřina 2; Gabrhelík Tomáš 1
Authors‘ workplace:
Krajská nemocnice Tomáše Bati a. s, Zlín
1; Ústav veřejného zdravotnictví, Lékařská fakulta, Univerzita Palackého, Olomouc
2
Published in:
Geriatrie a Gerontologie 2024, 13, č. 4: 207-212
Category:
Original Article
doi:
https://doi.org/10.61568/geri/50-6431/20241226/139525
Overview
Introduction and aim: Cognitive dysfunction before operation could be seen as geriatric syndrome. Older frailty adults with cognitive dysfunction undergoing operation are at higher risk of developing postoperative compilations, including perioperative neurocognitive disorder. The primary aim of the study Postoperative cognitive dysfunction as geriatric syndrome was to determine correlations between preoperative and postoperative scores on three cognitive tests, assessing social anamnesis and Clinical frailty scale.
Methodology: The study was prospective, monocentric, and observational. One cohort of patients were examined, age 65 years or older. Research was carried out in 2020-2023. Pre-
operative and postoperative testing took place in the anaesthesiology outpatient clinic or in the hospital ward. The study design consisted of a descriptive comparison of three cognitive tests before and after surgery. Frailty was assessed with Clinical frailty scale. Social anamnesis consisted of type of accommodation (house, flat, institution), presence of stairs or elevator and existence of a roommate.
Results: The study finished 164 patients. The study finished 164 respondents. There was no significant correlation between social anamnesis and type of accommodation. When type of accommodation was divided into two groups (house/flat vs. institution) strong correlation was found. Patients living at home had lower Clinical scale (median 3.5 vs. 5). Significant difference was also found between patients with having stairs at home and patients with elevator, p = 0.019.
Conclusion: Assessments of cognitive functions and frailty should be a routine part of the preanesthesia examination. Assessment could help to identify seniors at risk. It should lead to higher levels of patient’s safety, acceptance of patient’s autonomy and to easier communication with families.
Keywords:
seniors, cognitive dysfunction, operation, anaesthesia, geriatric syndrome
Sources
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Korespondenční adresa: MUDr. Klára Nekvindová, Ph.D. Krajská nemocnice Tomáše Bati Havlíčkovo nábřeží 600 762 75 Zlín e-mail: klara.nekvindova@bnzlin.cz |
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Labels
Geriatrics General practitioner for adults Orthopaedic prostheticsArticle was published in
Geriatrics and Gerontology
2024 Issue 4
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