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
收藏
页码：119 / 122
页数：4
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