THE INFLUENCE OF AGE ON THE SEVERITY OF POSTOPERATIVE COGNITIVE DYSFUNCTION IN GERIATRIC PATIENTS AFTER EMERGENCY ABDOMINAL OPERATIONS
Keywords:
postoperative cognitive dysfunction, geriatric patients, emergency abdominal surgery, general anesthesiaAbstract
The state of cognitive functions (CF) was studied in geriatric patients undergone emergency abdominal surgery under general anesthesia on the basis of thiopental sodium. The aim of the study was to determine the dependence of the severity of postoperative cognitive dysfunction on age in this category of patients. Methods. It is included 26 geriatric patients with emergency surgical pathology of the abdominal cavity. We studied the state of the CF on neuropsychological tests: Mini-Mental State Examination, Frontal Assessment Battery, Shulte’s tables test. We evaluated the correlation of absolute and relative changes in test results with age. The study was performed before the operation, at 1st, 5th, 12th and 30th day after operation. Results. Before operation input cognitive dysfunction was observed, the degree of which was directly dependent on age. After the operation the strength of cognitive dysfunction in older patients was less than in the younger. Full recovery of CF to the preoperative level to 30th day did not happen. Conclusions. After emergency abdominal operations under general anesthesia on the basis of thiopental sodium in geriatric patients cognitive dysfunction is enhanced to a greater extent in younger patients.
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