Cognitive Dysfunction, Cognitive Disorder, Delirium - Postoperative
Conditions
Keywords
delirium, Mini-Cog, anaesthesia
Brief summary
In this study, the cognitive status of the patients in the preoperative period was taken into consideration and the development of delirium after the surgery was investigated. There is no harm to the patient.
Detailed description
The patients were preoperatively assessed for American Society of Anesthesiologists (ASA) risk by an anesthetist and age, sex and comorbidities were recorded. The Mini-cog test was applied as a cognitive screening test by the anesthesiologist in the preoperative period and the test score was recorded. Three-word memory test, clock drawing, and visual function test was performed to evaluate the patient's cognitive functions. In this test, patients were asked to memorize three words such as umbrella, sunshine, and chair at the beginning of the test.
Interventions
PROCEDURESevoflurane
Depending on the anesthesia maintenance protocol, total intravenous anesthesia (TIVA) or sevoflurane anesthesia, patients were divided into group T (TIVA) and group S (sevoflurane).
Sponsors
Amasya University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* There was a correlation between the incidence of delirium after the age of 60(10).
Exclusion criteria
* Patients' age< 60 years, * Patients undergoing emergency cholecystectomy or did not have preoperative Mini-Cog assessment, * With a history of cerebrovaskuler insult that was thought to have an effect on postoperative delirium , * Patients with difficulty in cooperation , * Patients with hemodynamic instability(arterial blood pressure above 160/90 mmHg and below 90/60 mmHg and patients with pulse rate below 50/min and above 100/min) , * Patients with previously diagnosed dementia, and those who had surgical procedures lasting more than 2 hours were excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Group P-S | postoperative 0 1st 2nd hours | Incidence of postoperative delirium in patients receiving sevoflurane or propofol-based total intravenous anesthesia |
Countries
Turkey (Türkiye)
Outcome results
None listed