Effect of preoperative hospitalisation period on postoperative cognitive dysfunction in patients undergoing hip surgery under regional anaesthesia
Aim of the study The main objective of this prospective and observational study was to investigate the effect of the preoperative hospitalisation period on early postoperative cognitive dysfunction (POCD) development in patients undergoing total hip replacement surgery under regional anaesthesia. Ma...
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| Veröffentlicht in: | International journal of clinical practice (Esher) 2021-05, Vol.75 (5), p.e14032-n/a |
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| container_title | International journal of clinical practice (Esher) |
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| creator | Ozalp Horsanali, Burcu Ozkalkanli, Murat Y. Tekgul, Zeki T. Yilmaz, Fulya |
| description | Aim of the study
The main objective of this prospective and observational study was to investigate the effect of the preoperative hospitalisation period on early postoperative cognitive dysfunction (POCD) development in patients undergoing total hip replacement surgery under regional anaesthesia.
Materials and Methods
Between November 2013 and September 2014, 64 patients were enrolled in the study. Mini Mental Test (MMT) scores were obtained on the initial admission day (MMT1), 24 hours prior to the surgery (MMT2) and 24 hours after the surgery (MMT3). The patients were divided into two groups according to the MMT scores: ‘no cognitive dysfunction’ (group 1) and ‘cognitive dysfunction’ (group 2). Differences between the groups were evaluated statistically. The statistical significance level was set as P |
| doi_str_mv | 10.1111/ijcp.14032 |
| format | Article |
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The main objective of this prospective and observational study was to investigate the effect of the preoperative hospitalisation period on early postoperative cognitive dysfunction (POCD) development in patients undergoing total hip replacement surgery under regional anaesthesia.
Materials and Methods
Between November 2013 and September 2014, 64 patients were enrolled in the study. Mini Mental Test (MMT) scores were obtained on the initial admission day (MMT1), 24 hours prior to the surgery (MMT2) and 24 hours after the surgery (MMT3). The patients were divided into two groups according to the MMT scores: ‘no cognitive dysfunction’ (group 1) and ‘cognitive dysfunction’ (group 2). Differences between the groups were evaluated statistically. The statistical significance level was set as P < .05 in a 95% confidence interval.
Results
The POCD incidence rate was calculated as 43.8% in all patients. The preoperative hospitalisation duration was significantly longer in patients with POCD than in patients without POCD (P < .001). The factors that affected POCD development were found to be advanced age (P < .001), high American Society of Anesthesiologists scores (P = .004), the presence of comorbid disease (P = .025), durations of surgery (P = .018) and decreased postoperative haematocrit levels (P = .014).
Conclusion
In this study, we observed that patients with early POCD had relatively longer preoperative hospitalisation periods than those in patients without POCD. We consider that prolonged preoperative hospitalisation may contribute to increased POCD incidence rates in patients with risk factors.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.14032</identifier><identifier>PMID: 33484197</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>Anesthesia ; Anesthesia, Conduction - adverse effects ; Cognitive ability ; Hematocrit ; Hip ; Hospitalization ; Humans ; Neuropsychological Tests ; Postoperative Cognitive Complications ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Prospective Studies ; Regional anesthesia ; Risk factors ; Surgery ; Total hip arthroplasty</subject><ispartof>International journal of clinical practice (Esher), 2021-05, Vol.75 (5), p.e14032-n/a</ispartof><rights>2021 John Wiley & Sons Ltd</rights><rights>2021 John Wiley & Sons Ltd.</rights><rights>Copyright © 2021 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3572-49ad6165d5525ac822b1f93d6f4c54a194690ce251d0894e878bfec0e470c8f13</citedby><cites>FETCH-LOGICAL-c3572-49ad6165d5525ac822b1f93d6f4c54a194690ce251d0894e878bfec0e470c8f13</cites><orcidid>0000-0002-5023-9373</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.14032$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.14032$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33484197$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ozalp Horsanali, Burcu</creatorcontrib><creatorcontrib>Ozkalkanli, Murat Y.</creatorcontrib><creatorcontrib>Tekgul, Zeki T.</creatorcontrib><creatorcontrib>Yilmaz, Fulya</creatorcontrib><title>Effect of preoperative hospitalisation period on postoperative cognitive dysfunction in patients undergoing hip surgery under regional anaesthesia</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Aim of the study
The main objective of this prospective and observational study was to investigate the effect of the preoperative hospitalisation period on early postoperative cognitive dysfunction (POCD) development in patients undergoing total hip replacement surgery under regional anaesthesia.
Materials and Methods
Between November 2013 and September 2014, 64 patients were enrolled in the study. Mini Mental Test (MMT) scores were obtained on the initial admission day (MMT1), 24 hours prior to the surgery (MMT2) and 24 hours after the surgery (MMT3). The patients were divided into two groups according to the MMT scores: ‘no cognitive dysfunction’ (group 1) and ‘cognitive dysfunction’ (group 2). Differences between the groups were evaluated statistically. The statistical significance level was set as P < .05 in a 95% confidence interval.
Results
The POCD incidence rate was calculated as 43.8% in all patients. The preoperative hospitalisation duration was significantly longer in patients with POCD than in patients without POCD (P < .001). The factors that affected POCD development were found to be advanced age (P < .001), high American Society of Anesthesiologists scores (P = .004), the presence of comorbid disease (P = .025), durations of surgery (P = .018) and decreased postoperative haematocrit levels (P = .014).
Conclusion
In this study, we observed that patients with early POCD had relatively longer preoperative hospitalisation periods than those in patients without POCD. We consider that prolonged preoperative hospitalisation may contribute to increased POCD incidence rates in patients with risk factors.</description><subject>Anesthesia</subject><subject>Anesthesia, Conduction - adverse effects</subject><subject>Cognitive ability</subject><subject>Hematocrit</subject><subject>Hip</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Neuropsychological Tests</subject><subject>Postoperative Cognitive Complications</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Prospective Studies</subject><subject>Regional anesthesia</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Total hip arthroplasty</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90c1u1DAQB3CrKmpL4dIHQJZ6QUgpHn8kzrFaFSiqBAc4R15nnPUqG6d2AtrX4InxbkqROOCLx_ZPf9saQq6A3UAe7_3WjjcgmeAn5AIqyQvgEk5zLUpdKCbgnLxMacsYV0qzM3IuhNQS6uqC_LpzDu1Eg6NjxDBiNJP_gXQT0ugn0_uU12Gg-cCHlh6qkKa_zoZu8Meq3Sc3D_aofWb5HIcp0XloMXbBDx3d-JGmOXYY98s2jdhlb3pqBoNp2mDy5hV54Uyf8PXTfEm-f7j7tvpUPHz5eL-6fSisUBUvZG3aEkrVKsWVsZrzNbhatKWTVkkDtSxrZpEraJmuJepKr_NXGcqKWe1AXJK3S-4Yw-Ocb292PlnsezNgmFPDpWZSlBJkptf_0G2YY353VgpUXZWs5Fm9W5SNIaWIrhmj35m4b4A1h041h041x05l_OYpcl7vsH2mf1qTASzgp-9x_5-o5v7z6usS-hug76GY</recordid><startdate>202105</startdate><enddate>202105</enddate><creator>Ozalp Horsanali, Burcu</creator><creator>Ozkalkanli, Murat Y.</creator><creator>Tekgul, Zeki T.</creator><creator>Yilmaz, Fulya</creator><general>Hindawi Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5023-9373</orcidid></search><sort><creationdate>202105</creationdate><title>Effect of preoperative hospitalisation period on postoperative cognitive dysfunction in patients undergoing hip surgery under regional anaesthesia</title><author>Ozalp Horsanali, Burcu ; Ozkalkanli, Murat Y. ; Tekgul, Zeki T. ; Yilmaz, Fulya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3572-49ad6165d5525ac822b1f93d6f4c54a194690ce251d0894e878bfec0e470c8f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anesthesia</topic><topic>Anesthesia, Conduction - adverse effects</topic><topic>Cognitive ability</topic><topic>Hematocrit</topic><topic>Hip</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Neuropsychological Tests</topic><topic>Postoperative Cognitive Complications</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Prospective Studies</topic><topic>Regional anesthesia</topic><topic>Risk factors</topic><topic>Surgery</topic><topic>Total hip arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ozalp Horsanali, Burcu</creatorcontrib><creatorcontrib>Ozkalkanli, Murat Y.</creatorcontrib><creatorcontrib>Tekgul, Zeki T.</creatorcontrib><creatorcontrib>Yilmaz, Fulya</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ozalp Horsanali, Burcu</au><au>Ozkalkanli, Murat Y.</au><au>Tekgul, Zeki T.</au><au>Yilmaz, Fulya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of preoperative hospitalisation period on postoperative cognitive dysfunction in patients undergoing hip surgery under regional anaesthesia</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><addtitle>Int J Clin Pract</addtitle><date>2021-05</date><risdate>2021</risdate><volume>75</volume><issue>5</issue><spage>e14032</spage><epage>n/a</epage><pages>e14032-n/a</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Aim of the study
The main objective of this prospective and observational study was to investigate the effect of the preoperative hospitalisation period on early postoperative cognitive dysfunction (POCD) development in patients undergoing total hip replacement surgery under regional anaesthesia.
Materials and Methods
Between November 2013 and September 2014, 64 patients were enrolled in the study. Mini Mental Test (MMT) scores were obtained on the initial admission day (MMT1), 24 hours prior to the surgery (MMT2) and 24 hours after the surgery (MMT3). The patients were divided into two groups according to the MMT scores: ‘no cognitive dysfunction’ (group 1) and ‘cognitive dysfunction’ (group 2). Differences between the groups were evaluated statistically. The statistical significance level was set as P < .05 in a 95% confidence interval.
Results
The POCD incidence rate was calculated as 43.8% in all patients. The preoperative hospitalisation duration was significantly longer in patients with POCD than in patients without POCD (P < .001). The factors that affected POCD development were found to be advanced age (P < .001), high American Society of Anesthesiologists scores (P = .004), the presence of comorbid disease (P = .025), durations of surgery (P = .018) and decreased postoperative haematocrit levels (P = .014).
Conclusion
In this study, we observed that patients with early POCD had relatively longer preoperative hospitalisation periods than those in patients without POCD. We consider that prolonged preoperative hospitalisation may contribute to increased POCD incidence rates in patients with risk factors.</abstract><cop>England</cop><pub>Hindawi Limited</pub><pmid>33484197</pmid><doi>10.1111/ijcp.14032</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-5023-9373</orcidid></addata></record> |
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| subjects | Anesthesia Anesthesia, Conduction - adverse effects Cognitive ability Hematocrit Hip Hospitalization Humans Neuropsychological Tests Postoperative Cognitive Complications Postoperative Complications - epidemiology Postoperative Complications - etiology Prospective Studies Regional anesthesia Risk factors Surgery Total hip arthroplasty |
| title | Effect of preoperative hospitalisation period on postoperative cognitive dysfunction in patients undergoing hip surgery under regional anaesthesia |
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