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《Shanghai Medical Journal》 2005-11
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Morbidity and related factors of postoperative mental and cognitive disorder in elderly patients

CAO Jianguo, HONG Tao, WEN Daxiang, GAO Yuan, WAN Yanjie, DIAO Shu, LI Lizhi, HANG Yannan, SUN Dajin. Department of Anesthesiology, Renji Hospital, Shanghai Jiaotong University, Shanghai 200001, China  
Objective To analyze the morbidity and related factors of postoperative mental and cognitive disorder in elderly patients. Methods To study the morbidity of postoperative mental disorder and cognitive disturbance in 515 elderly patients, ≥65 years, retrospectively in Shanghai Renji Hospital and some cooperative hospitals from Jan. 2000 to Apr 2005. Results Among our study population, the rate of postoperative mental and cognitive disorder was 17.9% including cardiopulmonary bypass (CPB) with coexisted diseases of hypertension or diabetes mellitus (DM), perioperative hypotension as the main related factors. 29.6% elderly patients under non-cardiac surgery had cognitive disorder outcome with due to the important related. Age and duration factors of age and time of hypotension during surgical operation. Conclusions The incidence of postoperative mental and cognitive disorders is related to CPB,accompanying hypertension or DM, age and durations of perioperative together with intraoperative hypotension.
【Fund】: 上海市浦东新区科技局资助项目(pkj200413)
【CateGory Index】: R619
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