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January 1, 2024Avicenna BulletinOpen Access

Postoperative Cognitive Dysfunction: Predictors, Diagnosis, Prevention and Treatment

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Key result

Postoperative cognitive dysfunction occurs in 4% to 65% of surgical patients, driven by predictors like neuroinflammation and hypoxia, and may be mitigated by neuroprotective agents like dexmedetomidine.

Why the study?

The prevalence of postoperative cognitive dysfunction requires deeper study due to its impact on patient quality of life, hospital length of stay, and risk of severe complications and mortality.

Design

Literature review

Authors

OYO.N. YAMSHCHIKOVAMA.P. MARCHENKOSESergey А. Emelyanov

Discussion

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Overview

Variable POCD incidence warrants vigilance in postoperative care; leaves open standardized definitions and cardiac-specific prospective data.

Structured PICO

P
Population
A literature review analyzing studies from 2014-2023 on the predictors, diagnosis, prevention, and treatment of postoperative cognitive dysfunction in surgical patients.
I
Intervention
Pharmacological agents including neuroprotectors, antihypoxants, antioxidants, neuroplasticity stimulators, NSAIDs, and dexmedetomidine
O
Outcome
Postoperative cognitive dysfunction (POCD) and postoperative delirium

This review highlights the high prevalence of postoperative cognitive dysfunction and discusses potential pharmacological strategies, including dexmedetomidine, for its prevention and management.

Limitations

  • The prevalence of POCD has yet to be studied in more depth.
  • There is no ideal method of neuropsychological testing for diagnosing POCD that is both highly sensitive and quick to administer.
  • Despite numerous studies, a consensus on the prevention and treatment of POCD has not yet been formed.

Cite This Study

YAMSHCHIKOV et al. (2024) conducted a review in Postoperative cognitive dysfunction (POCD). Neuroprotective agents and anesthetic management (e.g., dexmedetomidine, cytoflavin) was evaluated. Postoperative cognitive dysfunction occurs in 4% to 65% of surgical patients, driven by predictors like neuroinflammation and hypoxia, and may be mitigated by neuroprotective agents like dexmedetomidine.

synapsesocial.com/papers/6a950fec2ea3449151e61610https://doi.org/10.25005/2074-0581-2024-26-3-439-451
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1An Overview on Postoperative Cognitive Dysfunction; Pathophysiology, Risk Factors, Prevention and Treatment2022 · 12 citations
  2. 2Postoperative Cognitive Dysfunction: An Integrated Surgical and Psychiatric Perspective on a Complex Neurocognitive Syndrome2026
  3. 3Post Operative Cognitive Dysfunction: A Literature Review2021
  4. 4Risk Factors for the Development of Post-Operative Cognitive Dysfunction2016 · 3 citations
  5. 5Current perspectives on postoperative cognitive dysfunction in geriatric patients: insights from clinical practice2024 · 28 citations