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The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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Preexisting cognitive impairment is associated with postoperative cognitive dysfunction after hip joint replacement

Brendan Silbert1, Lisbeth Evered, David A Scott

  • 1From the Centre for Anaesthesia and Cognitive Function, Department of Anaesthesia, St. Vincent's Hospital, Melbourne, Victoria, Australia (B.S., L.E., D.A.S.); Anaesthesia, Perioperative and Pain Medicine Unit, Melbourne Medical School, University of Melbourne, Melbourne, Victoria, Australia (B.S., L.E., D.A.S.,); Department of Surgery, Monash University, Melbourne, Victoria, Australia (S.M.); Malabar Orthopaedic Clinic, Windsor, Victoria, Australia (S.M.); Department of Surgery, University of Melbourne, Melbourne, Victoria, Australia (P.C.); Department of Orthopaedics, St. Vincent's Hospital, Melbourne, Victoria, Australia (P.C.); Academic Unit for Psychiatry of Old Age, Department of Psychiatry, University of Melbourne, Parkville, Victoria, Australia (D.A.); National Aging Research Institute, Parkville, Victoria, Australia (D.A.); Florey Institute for Neuroscience and Mental Health, Parkville, Victoria, Australia (P.M.); and School of Population Health, University of Adelaide, Adelaide, South Australia, Australia (K.J.).

Anesthesiology
|April 11, 2015
PubMed
Summary

Preexisting cognitive impairment (PreCI) in elderly surgical patients significantly increases their risk of developing postoperative cognitive dysfunction (POCD) and long-term cognitive decline. PreCI is a strong predictor of these adverse outcomes.

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