公共卫生 公共卫生
Wendy Wy Huang1, Shirley Fan2, Wei-Ya Li3
1School of Medicine, University of Limerick, Limerick, Munster, Ireland.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
手术后神经认知障碍 (POCD) 影响23%的老年人经过非心脏手术的第7天,随着时间的推移而减少. 腹部手术比骨科手术具有更高的POCD风险,因此需要改善术前护理.
科学领域:
- 老年医学 老年医学
- 神经科学是一个神经科学.
- 外科手术的结果
背景情况:
- 老年手术患者面临多病症和衰老导致的神经认知障碍风险增加的风险.
- 在这个人口群体中,术后神经认知障碍 (POCD) 的患病率需要进一步调查.
- 这项研究的重点是接受非心脏手术的老年人.
研究的目的:
- 为了估计经过非心脏手术的老年人中经手术前神经认知障碍 (POCD) 的综合患病率.
- 为了分析手术后POCD的时间趋势.
- 为了比较不同类型的外科手术中POCD的患病率.
主要方法:
- 在2024年1月24日之前发表的研究的系统审查和元分析.
- 包括60岁及以上的非心脏手术住院患者,经过术后认知评估.
- 用于聚合流行率计算的随机效应模型; 纽卡斯尔-太华尺度和质量评估的MOOSE指南.
主要成果:
- 分析了39项研究 (12,921名患者);平均年龄为70.0±8.9岁,女性为44.3%.
- 整体POCD患病率:23% (第7天),16% (1个月),10% (3个月),3% (1年).
- 在第7天和第3个月,腹部手术显示POCD患病率高于骨科手术.
结论:
- 在老年非心脏手术患者中,POCD很普遍,在手术后7天和1个月的时间有显著的发病率.
- 与骨科手术相比,腹部手术与POCD的风险更高.
- 认知查,风险减轻和干预对于更好的术后护理和结果至关重要.
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