August 2, 2021JAMAOpen Access

Cognitive Decline Associated With Anesthesia and Surgery in Older Patients

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Key result

Anesthesia and surgery link to neurologic injury and cognitive decline in older patients with reduced reserve.

Population

Older patients

Design

Review article

Authors

SVSusana VacasHarvard University DCDaniel J. ColeUniversity of California, Los Angeles MCMaxime CannessonCardiac Imaging

Discussion

Member takes

Implication

May warrant cautious perioperative cognitive monitoring in older adults; leaves open need for prospective trials on reserve-preserving strategies.

Structured PICO

Population

older patients

Intervention

anesthesia and surgery

Outcome

cognitive decline and neurologic injury

Older patients may have an increased risk of neurologic injury and cognitive decline from anesthesia and surgery due to aging-related decreases in cognitive reserve.

Cite This Study

Vacas et al. (2021) studied this question. Anesthesia and surgery in older patients are associated with an increased risk of neurologic injury and cognitive decline due to age-related decreases in cognitive reserve.

synapsesocial.com/papers/6a11cb2ced9c06332dfd38c3 https://doi.org/10.1001/jama.2021.4773

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Implication

May warrant cautious perioperative cognitive monitoring in older adults; leaves open need for prospective trials on reserve-preserving strategies.

Cognitive Decline Associated With Anesthesia and Surgery in Older Patients

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Cognitive Decline Associated With Anesthesia and Surgery in Older Patients

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider