Methodological Issues of Postoperative Cognitive Dysfunction Research

被引：46

作者：

Funder, Kamilia S. ^{[1
]}

Steinmetz, Jacob ^{[1
]}

Rasmussen, Lars S. ^{[1
]}

机构：

[1] Copenhagen Univ Hosp, Ctr Head & Orthopaed, Rigshospitalet, Copenhagen, Denmark

来源：

SEMINARS IN CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2010年 / 14卷 / 02期

关键词：

postoperative cognitive dysfunction; neuropsychological test; psychometric assessment; postoperative complications;

D O I：

10.1177/1089253210371520

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Postoperative cognitive dysfunction (POCD) is a subtle impairment of memory, concentration, and speed of information processing. It is a frequent complication following surgery and can have a debilitating effect on patients' recovery and future prognosis. Neuropsychological testing is needed to reveal postoperative cognitive decline, and questionnaires are not useful for this purpose. There is a profound lack of consensus regarding the research methodology for detection of cognitive deterioration, especially the diagnostic criteria. Issues, such as baseline performance, learning effects, and the interval between test sessions, also influence test results and must be considered when designing and interpreting POCD data.

引用

页码：119 / 122

页数：4

共 16 条

[1] Exposure to anaesthetic agents, cognitive functioning and depressive symptomatology in the elderly [J].

Ancelin, ML ;

De Roquefeuil, G ;

Ledésert, B ;

Bonnel, F ;

Cheminal, JC ;

Ritchie, K .

BRITISH JOURNAL OF PSYCHIATRY, 2001, 178 :360-366

[2]

BURCHIEL KJ, 1978, ANESTH ANALG, V57, P244

[3] Postoperative cognitive dysfunction in middle-aged patients [J].

Johnson, T ;

Monk, T ;

Rasmussen, LS ;

Abildstrom, H ;

Houx, P ;

Korttila, K ;

Kuipers, HM ;

Hanning, CD ;

Siersma, VD ;

Kristensen, D ;

Canet, J ;

Ibañaz, MT ;

Moller, JT .

ANESTHESIOLOGY, 2002, 96 (06) :1351-1357

[4] Long-term postoperative cognitive dysfunction in the elderly: ISPOCD1 study [J].

Moller, JT ;

Cluitmans, P ;

Rasmussen, LS ;

Houx, P ;

Rasmussen, H ;

Canet, J ;

Rabbitt, P ;

Jolles, J ;

Larsen, K ;

Hanning, CD ;

Langeron, O ;

Johnson, T ;

Lauven, PM ;

Kristensen, PA ;

Biedler, A ;

van Beem, H ;

Fraidakis, O ;

Silverstein, JH ;

Beneken, JEW ;

Gravenstein, JS .

LANCET, 1998, 351 (9106) :857-861

[5] Predictors of cognitive dysfunction after major noncardiac surgery [J].

Monk, Terri G. ;

Weldon, B. Craig ;

Garvan, Cyndi W. ;

Dede, Duane E. ;

van der Aa, Maria T. ;

Heilman, Kenneth M. ;

Gravenstein, Joachim S. .

ANESTHESIOLOGY, 2008, 108 (01) :18-30

[6] Longitudinal assessment of neurocognitive function after coronary-artery bypass surgery [J].

Newman, MF ;

Kirchner, JL ;

Phillips-Bute, B ;

Gaver, V ;

Grocott, H ;

Jones, RH ;

Mark, DB ;

Reves, JG ;

Blumenthal, JA .

NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (06) :395-402

[7] SUBJECTIVE REPORTS OF COGNITION IN RELATION TO ASSESSED COGNITIVE PERFORMANCE FOLLOWING CORONARY-ARTERY BYPASS-SURGERY [J].

NEWMAN, S ;

KLINGER, L ;

VENN, G ;

SMITH, P ;

HARRISON, M ;

TREASURE, T .

JOURNAL OF PSYCHOSOMATIC RESEARCH, 1989, 33 (02) :227-233

[8] Preoperative Anxiety in Neurosurgical Patients [J].

Perks, Anna ;

Chakravarti, Sucharita ;

Manninen, Pirjo .

JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY, 2009, 21 (02) :127-130

[9] LOST AND FOUND - SOME LOGICAL AND METHODOLOGICAL LIMITATIONS OF SELF-REPORT QUESTIONNAIRES AS TOOLS TO STUDY COGNITIVE AGING [J].

RABBITT, P ;

ABSON, V .

BRITISH JOURNAL OF PSYCHOLOGY, 1990, 81 :1-16

[10] The assessment of postoperative cognitive function [J].

Rasmussen, LS ;

Larsen, K ;

Houx, P ;

Skovgaard, LT ;

Hanning, CD ;

Moller, JT .

ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2001, 45 (03) :275-289

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