在年龄超过预期寿命的老年人中术后认知恶化:一项前性的纵向研究
Gabriele Melegari1, Enrico Giuliani2, Suela Osmenaj3
1Department of Anesthesia and Intensive Care, Modena University Hospital, Modena, Italy - melegari.gabriele@aou.mo.it.
Minerva anestesiologica
|November 21, 2023
概括
在接受计划性手术的老年患者中,术后认知能力下降很常见,持续一年后. 手术前的血红蛋白水平可能表明对认知状态和死亡率的风险.
科学领域:
- 老年医学 老年医学
- 麻醉学 麻醉学
- 认知神经学 认知神经学
背景情况:
- 越来越多的老年人群给医疗保健系统带来了挑战.
- 在手术后评估老年人认知状态的变化至关重要.
研究的目的:
- 测量老年患者在医院出院时和一年后的术后认知状态变化.
- 识别认知衰退的危险因素和麻醉的作用.
主要方法:
- 76名接受计划或可推迟手术的老年患者的前性纵向研究.
- 使用查尔森指数,巴特尔指数和六项认知障碍测试 (6CIT) 进行认知评估.
- 主要终点:在一年的随访期内认知恶化.
主要成果:
- 在住院期间观察到异常6CIT分数的显著增加,并在出院后持续了一年.
- 手术前的血红蛋白水平被确定为认知状态和死亡率的潜在风险因素.
- 麻醉并没有对认知状态产生显著的负面影响.
结论:
- 老年患者在计划性手术后经历了显著的认知恶化,受年龄和住院的影响.
- 一般麻醉对长期认知表现的直接影响仍然不确定.
- 需要进一步的研究来澄清麻醉和其他因素在术后认知变化中的作用.
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