Assessment of early cognitive recovery after surgery using the Post-operative Quality of Recovery Scale.

作者: S. NEWMAN , D. J. WILKINSON , C. F. ROYSE

DOI: 10.1111/AAS.12234

关键词: AnesthesiaSurgeryIncidence (epidemiology)CognitionWechsler Adult Intelligence ScaleNeuropsychologyActivities of daily livingMedicineAnesthesia Recovery PeriodAnesthesiologyDelirium

摘要: Background Cognitive problems early after surgery are often considered transient in nature. Neuropsychological performance and its relation to other recovery parameters have rarely been systematically assessed during this period. Methods A subanalysis of the Post-operative Quality Recovery Scale (PQRS) feasibility study included patients who completed PQRS on day 3, were categorised as recovered or not cognitive domain using revised scoring method. Results Of 449 paper, 388 (86.4%) 61 (13.6%) had at 3 days. Cognitive post-operative time points up 1 was significantly lower (P < 0.001). Of those 59.1% 1, but lapsed non-recovery 3. The non-recovered group demonstrated less physiological (P = 0.019), activity daily living (P = 0.049) nociceptive (P = 0.033) domains, no difference found emotive domain. a higher incidence major (P = 0.021), proportion with difficulty eating (4.9% vs. 0.5%, P = 0.002 clinically unimportant temperature (36.6° 36.4°C, P = 0.010). Conclusion Failure is reasonably common days surgery, can fluctuate associated poorer activities living, domains.

参考文章(17)
Doris Tong, Frances Chung, David Wong, Predictive Factors in Global and Anesthesia Satisfaction in Ambulatory Surgical Patients Anesthesiology. ,vol. 87, pp. 856- 864 ,(1997) , 10.1097/00000542-199710000-00020
Colin F. Royse, Stanton Newman, Frances Chung, Jan Stygall, Rachel E. McKay, Joachim Boldt, Frederique S. Servin, Ignacio Hurtado, Raafat Hannallah, Buwei Yu, David J. Wilkinson, Development and feasibility of a scale to assess postoperative recovery: the post-operative quality recovery scale. Anesthesiology. ,vol. 113, pp. 892- 905 ,(2010) , 10.1097/ALN.0B013E3181D960A9
Marcia S. Marx, Perla Werner, Nathan Billig, Valerie J. Watson, Jiska Cohen-Mansfield, Robert Feldman, Outcomes of Cataract Surgery in Nursing Home Residents Psychosomatics. ,vol. 36, pp. 254- 261 ,(1995) , 10.1016/S0033-3182(95)71664-4
Edward R. Marcantonio, Jonathan M. Flacker, Mary Michaels, Neil M. Resnick, Delirium Is Independently Associated with Poor Functional Recovery After Hip Fracture Journal of the American Geriatrics Society. ,vol. 48, pp. 618- 624 ,(2000) , 10.1111/J.1532-5415.2000.TB04718.X
Harold K. Fong, Laura P. Sands, Jacqueline M. Leung, The role of postoperative analgesia in delirium and cognitive decline in elderly patients: a systematic review. Anesthesia & Analgesia. ,vol. 102, pp. 1255- 1266 ,(2006) , 10.1213/01.ANE.0000198602.29716.53
Gisèle Pickering, Bruno Pereira, Florentin Clère, Marc Sorel, Geraldine de Montgazon, Malou Navez, Pascale Picard, Delphine Roux, Véronique Morel, Rachida Salimani, Mireille Adda, Valérie Legout, Claude Dubray, Cognitive Function in Older Patients with Postherpetic Neuralgia Pain Practice. ,vol. 14, ,(2014) , 10.1111/PAPR.12079
Zbigniew J. Lipowski, Delirium: Acute Confusional States ,(1990)
P.D Bedford, ADVERSE CEREBRAL EFFECTS OF ANÆSTHESIA ON OLD PEOPLE The Lancet. ,vol. 266, pp. 259- 264 ,(1955) , 10.1016/S0140-6736(55)92689-1
Carolyn Berryman, Tasha R. Stanton, Jane K. Bowering, Abby Tabor, Alexander McFarlane, Lorimer G. Moseley, Evidence for working memory deficits in chronic pain: A systematic review and meta-analysis Pain. ,vol. 154, pp. 1181- 1196 ,(2013) , 10.1016/J.PAIN.2013.03.002
Stanton Newman, Louise Klinger, Graham Venn, Peter Smith, Michael Harrison, Tom Treasure, Subjective reports of cognition in relation to assessed cognitive performance following coronary artery bypass surgery. Journal of Psychosomatic Research. ,vol. 33, pp. 227- 233 ,(1989) , 10.1016/0022-3999(89)90050-0