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临床表现 临床表现

Tony Tan1,2, Ellene Yan1,2, Leif Erik Lovblom3,4

  • 1Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.

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概括
此摘要是机器生成的。

远程认知查工具显示,在手术前没有认知障碍 (CI) 的老年手术患者可能会在手术后出现临时CI. 这凸显了虚拟评估在手术后监测老年患者的认知变化的重要性.

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科学领域:

  • 老年学是一门学科.
  • 神经科学是一个神经科学.
  • 外科手术的结果

背景情况:

  • 随着COVID-19的流行,远程医疗服务得到了推动,包括虚拟认知查.
  • 对老年手术患者进行认知障碍 (CI) 的评估至关重要.
  • 远程工具为外科手术期间的认知评估提供了一种可行的方法.

研究的目的:

  • 评估CI在老年非心脏手术患者中的患病率和发展轨迹.
  • 在手术前和手术后的30,90和180天评估认知功能.
  • 在这个人群中确定远程认知查工具的实用性.

主要方法:

  • 老年非心脏手术患者 (≥65岁) 进行虚拟认知评估.
  • 使用了确定痴呆症八项问卷 (AD8) 和电话蒙特利尔认知评估 (T-MoCA).
  • 认知能力在手术前和手术后的30,90和180天被评估.

主要成果:

  • 在手术前的CI患病率为17% (AD8) 和26% (T-MoCA).
  • 没有手术前CI的患者在30天后初步增加了CI,随后下降.
  • 在6个月后,大约5% (AD8) 和8% (T-MoCA) 患有CI.

结论:

  • 手术可以影响以前没有CI的老年人的认知功能.
  • 远程认知查工具有效监测术后认知变化.
  • 这些工具有助于识别有风险的患者,以便及时介入.