Tire Yasin, Aydoğan Eyüp, Sargın Mehmet, Kozanhan Betül
Department of Anaesthesiology and Reanimation, University of Health Science, Konya Training and Research Hospital, Konya, Turkey.
Department of Anaesthesiology and Reanimation, Selçuk University School of Medicine, Konya, Turkey.
Turk J Anaesthesiol Reanim. 2020 Aug;48(4):300-307. doi: 10.5152/TJAR.2019.36699. Epub 2019 Nov 25.
Postoperative cognitive dysfunction (POCD) is one of the most common complications in elderly surgical patients. We conducted a survey study to evaluate the perspectives of Turkish anaesthesiologists on postoperative cognitive disorders.
We conducted a prospective online survey with questions and answers were recorded either in a Likert scale from 1 to 5 (completely disagree to completely agree) or as yes/no/do not know types of answers. Potential participants were contacted through an e-mail that included a brief introductory note, instructions, a link to the survey and the authors' contact information.
We analysed 129 surveys (9.9% of total potential respondents). The majority believed that the risk of cognitive side effects should be considered when choosing the type of anaesthesia (87.6%) and that preoperative cognitive function should be routinely assessed (74.4%). When caring for an agitated and confused patient postoperatively, 56.6%, protocols to screen and manage postoperative cognitive disorders were rarely used. Nearly all respondents believe that postoperative delirium and POCD are neglected areas in anaesthesiology.
Overall, participants perceive postoperative cognitive disorders as important adverse outcomes following surgery and anaesthesia. They are aware of the main risk factors for their development but may lack information on the prevention and management postoperatively.
术后认知功能障碍（POCD）是老年外科患者最常见的并发症之一。我们开展了一项调查研究，以评估土耳其麻醉医生对术后认知障碍的看法。
我们进行了一项前瞻性在线调查，问题及答案采用1至5分的李克特量表记录（从完全不同意到完全同意），或采用是/否/不知道类型的答案。通过电子邮件联系潜在参与者，邮件包含简短的介绍说明、指导、调查链接及作者的联系信息。
我们分析了129份调查问卷（占潜在受访者总数的9.9%）。大多数人认为，选择麻醉类型时应考虑认知副作用风险（87.6%），且应常规评估术前认知功能（74.4%）。在术后护理烦躁和意识混乱的患者时，56.6%的人表示很少使用筛查和管理术后认知障碍的方案。几乎所有受访者都认为术后谵妄和POCD是麻醉学中被忽视的领域。
总体而言，参与者将术后认知障碍视为手术和麻醉后的重要不良后果。他们了解其发生的主要风险因素，但可能缺乏术后预防和管理方面的信息。
