Department of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
Department of Rehabilitation, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.
BMJ Open. 2022 Jul 7;12(7):e060369. doi: 10.1136/bmjopen-2021-060369.
The ageing of the population, as well as advances and improvements in surgery, and anaesthesia have greatly increased the demand for surgical services in geriatric patients. Neurocognitive disorders are the most common complications experienced in the postoperative period by older individuals. Improving perioperative brain health in older adults has become key actions for the multidisciplinary perioperative care teams. This comprehensive systematic review will assess the effectiveness and safety of cognitive prehabilitation programmes prior to surgery on cognitive functional capacity and postoperative cognitive outcomes in geriatric patients undergoing elective surgery.
This protocol was prepared using the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. The following key electronic bibliographic databases will be searched from inception to July 2022: MEDLINE, EMBASE, CINAHL, CENTRAL, PEDro, PsycINFO, CBM, CNKI, WANFANG database and VIP. We will include randomised controlled trials published in English or Chinese that examine the effects of cognitive prehabilitation programmes on geriatric patients undergoing elective surgery. To construct the search strategy, the Patient, Intervention, Comparison, Outcome, Study scheme will be used. Two reviewers will independently complete the study screening, selection, data extraction and quality rating. The Physiotherapy Evidence Database scale will be used to assess the methodological quality of the included studies. A narrative or quantitative synthesis will be conducted based on the final data. The planned start and end dates for the study were 1 September 2021 and 1 August 2023.
Ethical approval will not be required for this protocol. The results of the final review will be disseminated via peer-reviewed journals and conference presentations.
CRD42021277191.
人口老龄化以及手术和麻醉技术的进步和改善，极大地增加了老年患者对手术服务的需求。神经认知障碍是老年人术后最常见的并发症。改善老年患者围手术期大脑健康已成为多学科围手术期护理团队的关键措施。本全面系统评价将评估手术前认知康复计划对接受择期手术的老年患者认知功能能力和术后认知结果的有效性和安全性。
本方案使用系统评价和荟萃分析报告的首选报告项目（Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols）进行准备。从成立到 2022 年 7 月，将对以下主要电子书目数据库进行搜索：MEDLINE、EMBASE、CINAHL、CENTRAL、PEDro、PsycINFO、CBM、CNKI、WANFANG 数据库和 VIP。我们将纳入发表在英语或中文的随机对照试验，研究认知康复计划对接受择期手术的老年患者的影响。为构建搜索策略，将使用患者、干预、比较、结果、研究方案。两名审查员将独立完成研究筛选、选择、数据提取和质量评分。将使用物理治疗证据数据库量表评估纳入研究的方法学质量。根据最终数据，将进行叙述性或定量综合。该研究的计划开始和结束日期为 2021 年 9 月 1 日和 2023 年 8 月 1 日。
本方案不需要伦理批准。最终审查的结果将通过同行评议的期刊和会议报告进行传播。
PROSPERO 注册号：CRD42021277191。
