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术后认知功能障碍:认知流行病学视角

Post-Operative Cognitive Impairment: A Cognitive Epidemiology Perspective.

作者信息

Feinkohl Insa

机构信息

Max-Delbrück-Center for Molecular Medicine in the Helmholtz Association (MDC), Molecular Epidemiology Research Group, D-13125 Berlin, Germany.

出版信息

J Intell. 2022 Mar 11;10(1):18. doi: 10.3390/jintelligence10010018.

Abstract

Cognitive epidemiology investigates cognitive predictors of health and disease outcomes. Post-operative cognitive impairment is a common complication of surgery but has been neglected as a health outcome in cognitive epidemiology research. This is despite the fact that knowledge of cognitive predictors of post-operative cognitive impairment can be utilized for risk stratification, informed decision-making (in elective surgery), and personalized care of patients during the postoperative period. In this narrative review, the current literature on cognitive predictors of post-operative cognitive impairment and gaps therein are summarized.

摘要

认知流行病学研究健康和疾病结局的认知预测因素。术后认知功能障碍是手术常见的并发症,但在认知流行病学研究中却被忽视作为一种健康结局。尽管如此,了解术后认知功能障碍的认知预测因素可用于风险分层、(择期手术中的)知情决策以及术后患者的个性化护理。在这篇叙述性综述中,总结了关于术后认知功能障碍的认知预测因素的现有文献及其存在的差距。

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本文引用的文献

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Prediction of Postoperative Delirium after Gastrointestinal Surgery Using the Mie Constructional Apraxia Scale.
Dement Geriatr Cogn Dis Extra. 2021 Dec 9;11(3):306-313. doi: 10.1159/000520249. eCollection 2021 Sep-Dec.
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Incidence, risk factors, and consequences of emergence delirium after elective brain tumor resection.
Surgeon. 2022 Oct;20(5):e214-e220. doi: 10.1016/j.surge.2021.09.005. Epub 2021 Nov 12.
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Postoperative Delirium in Older Patients: A Systematic Review of Assessment and Incidence of Postoperative Delirium.
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