Cardiovascular journal of Africa · 2025
Assessment of the impact of carotid intima-media thickness on postoperative cognitive dysfunction following elective noncardiac surgery.
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Kadir Kabahasanoğlu, Alper Kararmaz, Ömer Ayanoğlu Hilmi
Аннотация
BACKGROUND: Postoperative cognitive dysfunction (POCD) following noncardiac surgery in the elderly is a growing concern. This study evaluates the relationship between carotid intima-media thickness (cIMT), a measure of subclinical atherosclerosis, and POCD.
METHODS: In this prospective study, elderly patients (≥60 years) undergoing elective noncardiac surgery were divided into two groups based on cIMT. Cognitive assessments were conducted preoperatively and postoperatively using the mini-mental state examination, clock-drawing, digit span, trail-making, and Stroop tests.
RESULTS: The study included 36 patients, with no significant differences in cognitive test outcomes between those with cIMT ≤0.9mmand >0.9mm. The overall incidence of POCD was 2.8%.
CONCLUSIONS: Increased cIMT was not associated with a higher risk of POCD. Larger studies are necessary to confirm these findings.
METHODS: In this prospective study, elderly patients (≥60 years) undergoing elective noncardiac surgery were divided into two groups based on cIMT. Cognitive assessments were conducted preoperatively and postoperatively using the mini-mental state examination, clock-drawing, digit span, trail-making, and Stroop tests.
RESULTS: The study included 36 patients, with no significant differences in cognitive test outcomes between those with cIMT ≤0.9mmand >0.9mm. The overall incidence of POCD was 2.8%.
CONCLUSIONS: Increased cIMT was not associated with a higher risk of POCD. Larger studies are necessary to confirm these findings.
Предметные рубрики MeSH
HumansCarotid Intima-Media ThicknessElective Surgical ProceduresMaleFemaleAgedProspective StudiesRisk FactorsIncidenceMiddle AgedCognitionPostoperative Cognitive ComplicationsRisk AssessmentCarotid Artery DiseasesMental Status and Dementia TestsPredictive Value of TestsNeuropsychological TestsTreatment OutcomeAged, 80 and over