心脏手术前的认知障碍:一个前性的单中心观察分析
Juan M Perdomo1, Manuel López-Baamonde1, Elena Gimeno-Santos2,3
1Department of Anaesthesiology, Hospital Clínic de Barcelona, Villarroel 170, 08036 Barcelona, Spain.
Journal of clinical medicine
|March 27, 2025
概括
心脏手术前认知障碍的患病率为31%,主观投诉是不可靠的指标. 四个特定的认知测试的组合提供了高效的临床诊断.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 老年病的医生 老年病的医生
背景情况:
- 在接受心脏手术的患者中,认知障碍是令人担忧的.
- 患病率和风险因素需要进一步调查.
- 术前认知评估的诊断工具需要验证.
研究的目的:
- 为了评估等待心脏手术的患者认知障碍的患病率.
- 为了确定认知障碍的相关风险因素.
- 评估各种认知测试的诊断性能.
主要方法:
- 对134名50岁以上接受心脏手术的患者进行前性,单中心的观察性研究.
- 综合认知评估使用八项测试和主观投诉问题.
- 身体评估,包括功能能力和活动水平.
主要成果:
- 在31%的患者中检测到客观认知障碍 (41/134).
- 66%受损患者报告没有主观投诉;在受损和无损组中,投诉是相似的.
- 四个认知测试的特定组合显示出高的诊断准确性 (AUC:0.88).
结论:
- 在心脏手术之前,客观认知障碍很常见,但主观的投诉是不可靠的.
- 一套经过验证的四项认知测试可以有效地诊断手术前认知障碍.
- 认知障碍与较差的身体功能 (坐到站的表现) 有关.
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