作者: S. NEWMAN , D. J. WILKINSON , C. F. ROYSE
DOI: 10.1111/AAS.12234
关键词: Anesthesia 、 Surgery 、 Incidence (epidemiology) 、 Cognition 、 Wechsler Adult Intelligence Scale 、 Neuropsychology 、 Activities of daily living 、 Medicine 、 Anesthesia Recovery Period 、 Anesthesiology 、 Delirium
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.