术前老年特征与术后认知功能和生活质量变化相关:一项前性观察分析多中心研究
Isngadi Isngadi1, Aswoco A Asmoro1, Nurul Huda1
1Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University-Dr. Saiful Anwar General Hospital, Malang, Indonesia.
Annals of geriatric medicine and research
|September 12, 2024
概括
老年人的术后认知功能受到年龄,体重指数 (BMI) 和美国麻醉学会 (ASA) 身体状况的影响. 生活质量与BMI,并发症和麻醉类型有关.
科学领域:
- 老年麻醉学老年麻醉学
- 神经科学是一个神经科学.
- 生活质量研究 研究 生命质量研究
背景情况:
- 认知功能下降对老年患者的抑郁和生活质量 (QOL) 有影响.
- 了解影响术后认知功能和QOL的因素对于选择性手术患者至关重要.
研究的目的:
- 研究患者特征,麻醉管理和术后认知功能和QOL变化之间的关系.
- 在接受选择性手术的老年患者中确定认知和质量生活变化的预测因素.
主要方法:
- 在印尼医院进行前性观察分析多中心研究.
- 包括933名老年患者 (≥60岁) 接受选择性手术,随访30天.
- 统计分析包括双变量奇平方和多变量回归试验.
主要成果:
- 年龄,BMI和ASA身体状况显著预测了术后认知功能.
- 体重指数,没有并发症,区域麻醉和认知功能变化与QOL相关.
- 在933名参与者中,59.8%接受了全身麻醉.
结论:
- 术前因素如年龄,BMI和ASA状态是术后认知功能的关键预测因素.
- 体重指数 (BMI),并发症和麻醉类型影响术后的QOL.
- 这些发现有助于老年手术患者的手术前规划.
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