Document Detail


Cognitive dysfunction after surgery and anaesthesia: what can we tell the grandparents?
MedLine Citation:
PMID:  19153069     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
'Grandpa was never the same after his operation!'. This statement describes a myriad of possible clinical difficulties that can afflict older people after hospitalisation for major surgery. We summarise the evidence pertaining to the phenomenon of Postoperative Cognitive Dysfunction, a condition defined as an abnormality on neuropsychological testing, which is said to afflict up to 14% of over 70 years olds undergoing elective surgery. So far none of the expected surgical, anaesthetic and environmental risk factors have been convincingly demonstrated to be responsible for this observed deterioration. While recognising the high incidence of the condition as an neuropsychological entity we accept that it is difficult to translate this into a reliable estimate of clinical risk for the individual patient.
Authors:
D Gwyn Seymour; Andrew M Severn
Publication Detail:
Type:  Journal Article; Review     Date:  2009-01-18
Journal Detail:
Title:  Age and ageing     Volume:  38     ISSN:  1468-2834     ISO Abbreviation:  Age Ageing     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-02-17     Completed Date:  2009-04-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  England    
Other Details:
Languages:  eng     Pagination:  147-50     Citation Subset:  IM    
Affiliation:
Medicine for Elderly, University of Aberdeen, Foresterhill Health Centre, Westburn Road, Aberdeen AB25 2AY, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aging*
Anesthesia / adverse effects*,  statistics & numerical data
Cognition Disorders / epidemiology*,  etiology
Humans
Incidence
Postoperative Complications / epidemiology*
Risk Factors
Surgical Procedures, Elective / adverse effects*,  statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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