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A systematic review of postoperative cognitive decline following open and endovascular aortic aneurysm surgery.
Benson, R A; Ozdemir, B A; Matthews, D; Loftus, I M.
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  • Benson RA; Department of Vascular Surgery, University Hospital of North Midlands , Stoke-on-Trent , UK.
  • Ozdemir BA; St George's Vascular Institute, St George's Healthcare NHS Trust , London , UK.
  • Matthews D; Croydon Memory Service, South London and Maudsley NHS Foundation Trust , Croydon , UK.
  • Loftus IM; St George's Vascular Institute, St George's Healthcare NHS Trust , London , UK.
Ann R Coll Surg Engl ; 99(2): 97-100, 2017 Feb.
Article en En | MEDLINE | ID: mdl-27809575
OBJECTIVES Postoperative cognitive decline (POCD) is a well-recognised neurological phenomenon following major surgery. Most commonly seen in elderly patients, it has direct links to increased long-term morbidity and reduced quality of life. Its incidence following open and endovascular abdominal and thoracic aneurysm surgery is unclear. The purpose of this systematic review is to collate available evidence for POCD following abdominal and thoracic aortic surgery, and to identify continuing controversies directing future research. METHODS A MEDLINE search was conducted following the recommendations of the PRISMA guidelines. Terms searched for included but were not limited to: aortic surgery, delirium, postoperative cognitive decline/dysfunction thoracic aortic surgery, abdominal aortic surgery. Reference lists were searched for additional studies. RESULTS Five observational studies were identified from the literature search. Variation in study methods, cognitive test batteries and thresholds set by the study coordinators did not allow for pooled results. In those studies that did find evidence of decline, risk was linked to age over 65 years, presence of postoperative delirium and decreased years in education. CONCLUSIONS Evidence thus far suggests that POCD can affect patients following major aortic, non-cardiothoracic as well as cardiothoracic surgery. Future research should focus on using a validated repeatable battery of cognitive tests and a single defined threshold for POCD to allow pooled analysis and more robust conclusions. Larger, adequately powered studies are required to re-evaluate the effect of aortic aneurysm surgery on postoperative cognitive function.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma de la Aorta / Complicaciones Posoperatorias / Procedimientos Endovasculares / Disfunción Cognitiva / Procedimientos Quirúrgicos Cardíacos Tipo de estudio: Observational_studies / Systematic_reviews Aspecto: Patient_preference Límite: Adult / Aged / Aged80 / Humans / Middle aged Idioma: En Revista: Ann R Coll Surg Engl Año: 2017 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma de la Aorta / Complicaciones Posoperatorias / Procedimientos Endovasculares / Disfunción Cognitiva / Procedimientos Quirúrgicos Cardíacos Tipo de estudio: Observational_studies / Systematic_reviews Aspecto: Patient_preference Límite: Adult / Aged / Aged80 / Humans / Middle aged Idioma: En Revista: Ann R Coll Surg Engl Año: 2017 Tipo del documento: Article Pais de publicación: Reino Unido