Comparison of the three kind of criteria to evaluate the incidences of postoperative cognitive dysfunction in non-cardiac surgery in non-cardiac surgery
- VernacularTitle:三种评判标准对非心脏手术患者术后认知功能障碍评估的比较
- Author:
Kaiyun FANG
;
Xiang HE
;
Yan ZHU
;
Jie SHANG
;
Kailian SONG
;
Huaizhong MO
;
Jing SHI
;
Weihua LIU
- Publication Type:Journal Article
- Keywords:
Postoperative cognitive dysfunction;
Non-cardiac surgery;
Postoperative compli-cation
- From:
The Journal of Clinical Anesthesiology
2014;(6):564-567
- CountryChina
- Language:Chinese
-
Abstract:
Objective Compare the three kind of criteria in evaluating the incidences of postop-erative cognitive dysfunction in non-cardiac surgery.Methods Four hundred and sixty one non-cardiac surgery patients were randomly enrolled in this study group and two hundred forty four non-surgery patients as control group.Patients??cognitive state was measured on preoperative and postoperative 1 and 3 d by mini-mental state examination(MMSE).POCD was assessed by patients??education level, one standard deviation and Z-score scale,respectively.Results On the first and third day after sur-gery,Z-score scale assess POCD result showed the highest relevance ratio and 95%CI as well as the lowest education level.The education scale showed the lowest incidence of POCD.Education level criteria was positive on postoperative 1 and 3 day,while one case on postoperative 1 day and four cases on postoperative 3 day were negative by Z-score scale.Conclusion The incidence of POCD in same pa-tients by three kind of criteria are different.The Z-score scale is recommended to evaluate the POCD in order to avoid misdiagnosis.
