Wang et al reported risk factors associated with delayed recovery of neurocognitive deficits after thoracic surgery performed on an older adult. The authors are from Capital Medical University and affiliated hospitals in Beijing.
Patient selection: older adult undergoing thoracic surgery (age >= 60 years with average age 68 years)
On postoperative day 4, 40% of patients had a neurocognitive deficit, with age >= 70 years and NLR < 2.5 as risk factors.
Outcome: neurocognitive deficit at 30 days after surgery (measured with Montreal Cognitive Assessment)
Frequency: 17%
Risk factors for a delay in neurocognitive recovery:
(1) diabetes (OR 6.5)
(2) unintentional perioperative hypothermia for >= 30 minutes (< 35°C, OR 5.7)
(3) anesthesia with sevoflurane combined with propofol (VICA, OR 5.3)
(4) history of cerebrovascular event (OR 10.2)
To read more or access our algorithms and calculators, please log in or register.
