Peri- and postoperative cognitive and consecutive functional problems of elderly patients.

Abstract:

PURPOSE OF REVIEW:From an elderly patient's perspective, acute and chronic cognitive disturbances are among the most harmful complications that can occur following surgery. For elderly patients, these complications often mean the end of an independent life. This article focuses on this serious aspect, which is increasingly prevalent in our aging society. Cognitive disturbances are associated with severe outcome impairments and increased mortality. This article aims to provide a current overview regarding the diagnosis, pathophysiology, prevention, and treatment of this severe social problem. RECENT FINDINGS:The current knowledge of risk factors, diagnosis, prevention, and treatment of postoperative delirium and postoperative cognitive dysfunction should help to raise awareness and improve the outcome of delirious patients, particularly in the elderly population. SUMMARY:Especially in elderly patients, postoperative delirium constitutes a common, severe complication. Early diagnosis and supportive treatment are essential to improve outcome. To date, no pharmacological treatment strategy was effective, so that further research about the underlying pathophysiology and the development of treatment strategies are urgently required.

journal_name

Curr Opin Crit Care

authors

Müller A,Lachmann G,Wolf A,Mörgeli R,Weiss B,Spies C

doi

10.1097/MCC.0000000000000327

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

406-11

issue

4

eissn

1070-5295

issn

1531-7072

journal_volume

22

pub_type

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