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Landscape and trends in postoperative cognitive dysfunction: A bibliometric and visualized analysis.
Wei Gan1, Qiaoning Li, Jinchun Xie
1Department of General Surgery, General Hospital of Western Theater Command, Chengdu Sichuan, P.R.China.
Medicine
|May 12, 2026
Summary
Global research on postoperative cognitive dysfunction (POCD) is rapidly expanding. Future studies should investigate POCD etiology and mechanisms, with perioperative neurocognitive disorder remaining a key research area.
Area of Science:
- Anesthesiology
- Neuroscience
- Bibliometrics
Background:
- Postoperative cognitive dysfunction (POCD) is a complex and extensively researched topic in anesthesiology.
- Despite significant research, the pathogenesis of POCD remains unclear, and global research trends require analysis.
Purpose of the Study:
- To conduct a bibliometric analysis of research on POCD over the past 30 years.
- To identify global research trends, key institutions, influential publications, and emerging hotspots in POCD research.
Main Methods:
- Bibliometric analysis of 2290 articles published between January 1, 1993, and December 31, 2022.
- Data sourced from Web of Science, with visualization and analysis performed using CiteSpace and VOSviewer.
Main Results:
- China leads in publication volume, while the United States shows higher research centrality.
- Capital Medical University and Duke University are leading institutions in POCD research.
- Key research hotspots include neuroinflammation, cardiac surgery, delirium, general anesthesia, and perioperative neurocognitive disorder.
Conclusions:
- Global research on POCD is experiencing rapid growth.
- Future research should prioritize understanding the etiology and mechanisms of POCD.
- Perioperative neurocognitive disorder is identified as a significant and ongoing frontier in POCD research.
