Cerebral Small Vessel Diseases, Long Term Adverse Effects
Conditions
Brief summary
The investigators perform a retro-prospective exploratory cohort study among patients 65 to 85 years old with pre-operative head MRI result after thoracic surgery in Renji Hospital Affiliated to Shanghai Jiaotong University from November 2020 to December 2021. Perioperative data were collected, including preoperative general condition, laboratory examination, auxiliary examination (blood routine, blood coagulation, liver and kidney function, etc.), perioperative indicators (use of anesthetics, anesthetic time, blood pressure, etc.), postoperative cerebral function follow-up and occurrence of cerebral vascular complications (brain infarction, brain bleed, etc.) of patients.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* 65≤age\<85 * after thoracic surgery * finish pre-operative brain MRI
Exclusion criteria
* mental illness * existing dementia and other diseases: Alzheimer disease, dementia, Parkinson's disease, Huntington's disease, systemic lupus erythematosus, etc. * previous cerebral infarction or hemorrhage
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of postoperative overt stroke | 1 year after surgery | Postoperative overt stroke detected by MRI of the brain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical function after surgery as assessed using Activities of Daily Living (iADL) Scale | 1 year after surgery | score of Activity of Daily Living Scale with total score of 78, higher score, better function) and Modified Ranking Scale from 0(no symptomatic post-infarction complication ) to 6 (death after cerebral infaction) |
| Physical function after surgery as assessed using the Modified Rankin Scale | 1 year after surgery | The scale runs from 0-6, running from perfect health without symptoms to death. A higher score is worse. |
Countries
China