在老年患者中,在全身麻醉下手术前的认知功能和手术结果
1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea; Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, South Korea.
在接受全身麻醉的老年人中,手术前的认知障碍与90天死亡率和并发症的增加有关. 使用韩国痴呆症查问卷-认知 (KDSQ-C) 的早期查对于识别有风险的患者至关重要.
科学领域:
- 老年人麻醉疗法 老年人麻醉
- 认知障碍研究 认知障碍研究
- 公共卫生监督 公共卫生监督
背景情况:
- 手术前的认知障碍是老年外科患者日益关注的问题.
- 一般麻醉可能会在术后影响认知功能.
- 在手术前确定有风险的个体对于改善手术结果至关重要.
研究的目的:
- 确定在接受全身麻醉的患者中术前认知障碍和术后结果之间的关联.
- 为了评估与手术前的认知状态有关的死亡率和发病率的风险.
主要方法:
- 一个基于人口的队列研究,使用全国性的韩国数据库 (2021-2021).
- 包括108,158名在全身麻醉下接受手术的老年患者.
- 用韩国痴呆症查问卷-认知 (KDSQ-C) 评估认知障碍.
主要成果:
- 具有KDSQ-C分数≥6的患者患90天死亡风险高35% (HR:1.35).
- 较高的KDSQ-C得分 (≥11) 显示90天死亡率的风险显著增加.
- 对于一年内全因死亡率和术后并发症也观察到类似的关联.
结论:
- 老年人手术前认知障碍与术后死亡率和发病率的增加有显著联系.
- 韩国痴呆查问卷-认知 (KDSQ-C) 是识别高风险患者的有效工具.
- 对接受全身麻醉的认知障碍患者进行有针对性的干预是有必要的.
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