Incidencia del déficit cognitivo postoperatorio en anestesia regional y general en una institución de cuarto nivel en Bucaramanga (Santander, Colombia) en el año 2017.
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| Title: | Incidencia del déficit cognitivo postoperatorio en anestesia regional y general en una institución de cuarto nivel en Bucaramanga (Santander, Colombia) en el año 2017. |
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| Alternate Title: | Postoperative cognitive dysfunction incidence for regional and general anesthesia in a level four institution in Bucaramanga (Santander, Colombia) during 2017. Incidencia do déficit cognitivo pós-operatório em anestesia regional e geral em urna instituição de quarto nivel em Bucaramanga (Santander, Colômbia) em 2017. |
| Authors: | Javier Contreras-Forero, Francisco1, Enrique Ochoa, Miguel2, Perez, Margarita3, Pinillos, Mauricio3, Celis, Laura3, Sebastián Valencia-Guampe, Jhon4 johnvalencia@unicauca.edu.co, Yaquely Delgado-Pascuaza, Angi4 |
| Source: | MedUNAB. dec2020-mar2021, Vol. 23 Issue 3, p450-463. 14p. |
| Subjects: | GENERAL anesthesia, INTRAVENOUS anesthesia, PHYSIOLOGICAL stress, SURGICAL complications, OLDER patients, HEALTH facilities |
| Geographic Terms: | BUCARAMANGA (Colombia) |
| Abstract (English): | Introduction. Within the aging process, most organic systems maintain their basal functions. However, there is a reduction in functional reserve and the capacity to compensate physiological stress, which makes older patients more prone to postoperative complications. A study was performed in institutions in Bucaramanga to determine the incidence of postoperative cognitive dysfunction and the associated risk factors. Methodology. This was a analytical observational prospective cohort study performed in healthcare institutions inBucaramanga in 2017 with patients older than 55 years of age under regional, balanced general or total intravenous anesthesia. Results. One hundred and seventy-three operated patients were studied, among which 112 (64.74%) were women and 61 (35.26%) were men. The most commonly used anesthetic techniques were: regional (46.24%) and balanced general (44.51%). Short-term Postoperative Cognitive Dysfunction incidence was 6.36% in previously healthy patients, with an adjusted significant P value (0.001). Cognitive deterioration was detected in 51.41% of patients, with alterations in their mastery of language, attention and memory. This increased for the long-term evaluation. During long-term patient follow-up, it resulted in 11.55%, determining the incidence of delayed Postoperative Cognitive Dysfunction at 17.91%. The anesthetic technique with the highest proportion of longterm dysfunction was mixed anesthesia, compared to regional anesthesia. Discussion. There is currently no standardized definition for Postoperative Cognitive Dysfunction. It has been observed more frequently and for longer extensions in older patients. The study demonstrated a significantly lower early incidence when compared to international articles, but a greater incidence of delayed postoperative dysfunction as a result of more intraoperative complications compared to other studies. Conclusions. Postoperative Cognitive Dysfunction involves multiple risk factors. The study observed a greater association with age, level of education, hypotension and general anesthesia. There was no association between comorbidities and Postoperative Cognitive Dysfunction. The presence of hypotension was determined for developing this dysfunction. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción. En el proceso de envejecimiento, la mayoría de los sistemas orgánicos mantienen su funcionamiento basal, pero existe una reducción de la reserva funcional y de la capacidad para compensar el estrés fisiológico, lo que hace que los pacientes de mayor edad sean más propensos a complicaciones postoperatorias. Se realizó un estudio en instituciones de Bucaramanga para determinar la incidencia de déficit cognitivo postoperatorio y los factores de riesgo asociados. Metodología. Estudio observacional analítico de cohorte prospectivo realizado en instituciones de salud de Bucaramanga durante 2017 con pacientes mayores de 55 años intervenidos bajo anestesia regional, general balanceada o anestesia total intravenosa. Resultados. Se estudiaron 173 pacientes, 112 mujeres (64.74%)y 61 hombres (35.26%) operados. Las técnicas anestésicas más empleadas fueron: Regional (46.24%) y General balanceada (44.51%). La incidencia de Déficit Cognitivo Postoperatorio a corto plazo fue 6.36% en pacientes previamente sanos, con valor P significativo (0.001) ajustado. Se detectó deterioro cognitivo del 51.41% con alteraciones en los dominios de lenguaje, atención y memoria; con aumento en la evaluación a largo plazo. Durante el seguimiento de pacientes a largo plazo resultó en un 11.55%, determinando la incidencia de Déficit Cognitivo Postoperatorio tardío en un 17.91%. La técnica anestésica con mayor proporción de déficit a largo plazo fue la anestesia mixta, comparada con anestesia regional. Discusión. En la actualidad no existe una definición estandarizada de Déficit Cognitivo Postoperatorio, se ha observado mayor frecuencia y mayor prolongación en pacientes de edad avanzada. El estudio demostró una incidencia temprana significativamente menor, comparándolo con artículos internacionales, pero una incidencia mayor en déficit postoperatorio tardío, resultado de mayores complicaciones intraoperatorias, comparado con otros estudios. Conclusiones. El Déficit Cognitivo Postoperatorio involucra múltiples factores de riesgo; en el estudio se encontró mayor asociación con la edad, la escolaridad, la hipotensión y la anestesia general. No hubo asociación entre comorbilidades y el Déficit Cognitivo Postoperatorio. Se determinó la presencia de hipotensión para desarrollo de este déficit. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Introdujo. No processo de envelhecimento, a maioria dos sistemas orgánicos mantém seu funcionamento basal, mas há uma diminuição da reserva funcional e da capacidade de compensar o estresse fisiológico que toma os pacientes idosos mais sujeitos a complicacocs pós-operatórias. Foi realizado um estudo em instituicocs da cidade de Bucaramanga para determinar a incidencia de déficit cognitivo pós-operatório e os fatores de risco associados. Métodos. Estudo observacional analítico de coorte prospectivo realizado em instituicocs de saúde em Bucaramanga durante o ano de 2017 em pacientes com idade superior a 65 anos operados sob anestesia regional, geral balanceada ou anestesia geral intravenosa. Resultados. Foram estudados 173 pacientes, 112 mulheres (64.74%) e 61 homens (35.26%) operados. As técnicas anestésicas mais utilizadas foram: regional (46.24%) e geral balanceada (44.51%). A incidencia de déficit cognitivo pós-operatório de curto prazo foi de 6.36% em pacientes previamente saudáveis, com um valor P significativo (0.001) ajustado. Detectou- se dctcrioração cognitiva de 51.41% com altcracocs nos dominios da linguagem, atcução e memoria; com aumento na avaliação de longo prazo. No seguimento a longo prazo dos pacientes resultou em 11.55%, determinando a incidencia de déficit cognitivo pós-operatório tardío em 17.91%. A técnica anestésica com maior proporção de déficit no longo prazo foi a anestesia mista, em comparação com a anestesia regional. Discussao. Atualmente nao existe uma dcfinição padronizada de Déficit Cognitivo Pós-operatório, a qual observa-se com maior frequencia e por mais tempo em pacientes idosos. O estudo demonstrou incidencia precoce significativamente menor, em comparação com resultados de artigos intemacionais, mas maior incidencia de déficit pós-operatório tardío, resultado de maiores complicacocs intraoperatórias, em comparação com outros estudos. Conclusoes. O Déficit Cognitivo Pós-operatório envolve múltiplos fatores de risco; o estudo encontrou maior associação com idade, escolaridade, hipotensao e anestesia geral. Nao houve associação entre comorbidades e Déficit Cognitivo Pós-operatório. Determinou-se a presenca de hipotensao para o desenvolvimento desse déficit. [ABSTRACT FROM AUTHOR] |
| Copyright of MedUNAB is the property of Universidad Autonoma de Bucaramanga, UNAB and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 149491955 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Incidencia del déficit cognitivo postoperatorio en anestesia regional y general en una institución de cuarto nivel en Bucaramanga (Santander, Colombia) en el año 2017. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Postoperative cognitive dysfunction incidence for regional and general anesthesia in a level four institution in Bucaramanga (Santander, Colombia) during 2017.<br />Incidencia do déficit cognitivo pós-operatório em anestesia regional e geral em urna instituição de quarto nivel em Bucaramanga (Santander, Colômbia) em 2017. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Javier+Contreras-Forero%2C+Francisco%22">Javier Contreras-Forero, Francisco</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Enrique+Ochoa%2C+Miguel%22">Enrique Ochoa, Miguel</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Perez%2C+Margarita%22">Perez, Margarita</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Pinillos%2C+Mauricio%22">Pinillos, Mauricio</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Celis%2C+Laura%22">Celis, Laura</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Sebastián+Valencia-Guampe%2C+Jhon%22">Sebastián Valencia-Guampe, Jhon</searchLink><relatesTo>4</relatesTo><i> johnvalencia@unicauca.edu.co</i><br /><searchLink fieldCode="AR" term="%22Yaquely+Delgado-Pascuaza%2C+Angi%22">Yaquely Delgado-Pascuaza, Angi</searchLink><relatesTo>4</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22MedUNAB%22">MedUNAB</searchLink>. dec2020-mar2021, Vol. 23 Issue 3, p450-463. 14p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22GENERAL+anesthesia%22">GENERAL anesthesia</searchLink><br /><searchLink fieldCode="DE" term="%22INTRAVENOUS+anesthesia%22">INTRAVENOUS anesthesia</searchLink><br /><searchLink fieldCode="DE" term="%22PHYSIOLOGICAL+stress%22">PHYSIOLOGICAL stress</searchLink><br /><searchLink fieldCode="DE" term="%22SURGICAL+complications%22">SURGICAL complications</searchLink><br /><searchLink fieldCode="DE" term="%22OLDER+patients%22">OLDER patients</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+facilities%22">HEALTH facilities</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22BUCARAMANGA+%28Colombia%29%22">BUCARAMANGA (Colombia)</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction. Within the aging process, most organic systems maintain their basal functions. However, there is a reduction in functional reserve and the capacity to compensate physiological stress, which makes older patients more prone to postoperative complications. A study was performed in institutions in Bucaramanga to determine the incidence of postoperative cognitive dysfunction and the associated risk factors. Methodology. This was a analytical observational prospective cohort study performed in healthcare institutions inBucaramanga in 2017 with patients older than 55 years of age under regional, balanced general or total intravenous anesthesia. Results. One hundred and seventy-three operated patients were studied, among which 112 (64.74%) were women and 61 (35.26%) were men. The most commonly used anesthetic techniques were: regional (46.24%) and balanced general (44.51%). Short-term Postoperative Cognitive Dysfunction incidence was 6.36% in previously healthy patients, with an adjusted significant P value (0.001). Cognitive deterioration was detected in 51.41% of patients, with alterations in their mastery of language, attention and memory. This increased for the long-term evaluation. During long-term patient follow-up, it resulted in 11.55%, determining the incidence of delayed Postoperative Cognitive Dysfunction at 17.91%. The anesthetic technique with the highest proportion of longterm dysfunction was mixed anesthesia, compared to regional anesthesia. Discussion. There is currently no standardized definition for Postoperative Cognitive Dysfunction. It has been observed more frequently and for longer extensions in older patients. The study demonstrated a significantly lower early incidence when compared to international articles, but a greater incidence of delayed postoperative dysfunction as a result of more intraoperative complications compared to other studies. Conclusions. Postoperative Cognitive Dysfunction involves multiple risk factors. The study observed a greater association with age, level of education, hypotension and general anesthesia. There was no association between comorbidities and Postoperative Cognitive Dysfunction. The presence of hypotension was determined for developing this dysfunction. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción. En el proceso de envejecimiento, la mayoría de los sistemas orgánicos mantienen su funcionamiento basal, pero existe una reducción de la reserva funcional y de la capacidad para compensar el estrés fisiológico, lo que hace que los pacientes de mayor edad sean más propensos a complicaciones postoperatorias. Se realizó un estudio en instituciones de Bucaramanga para determinar la incidencia de déficit cognitivo postoperatorio y los factores de riesgo asociados. Metodología. Estudio observacional analítico de cohorte prospectivo realizado en instituciones de salud de Bucaramanga durante 2017 con pacientes mayores de 55 años intervenidos bajo anestesia regional, general balanceada o anestesia total intravenosa. Resultados. Se estudiaron 173 pacientes, 112 mujeres (64.74%)y 61 hombres (35.26%) operados. Las técnicas anestésicas más empleadas fueron: Regional (46.24%) y General balanceada (44.51%). La incidencia de Déficit Cognitivo Postoperatorio a corto plazo fue 6.36% en pacientes previamente sanos, con valor P significativo (0.001) ajustado. Se detectó deterioro cognitivo del 51.41% con alteraciones en los dominios de lenguaje, atención y memoria; con aumento en la evaluación a largo plazo. Durante el seguimiento de pacientes a largo plazo resultó en un 11.55%, determinando la incidencia de Déficit Cognitivo Postoperatorio tardío en un 17.91%. La técnica anestésica con mayor proporción de déficit a largo plazo fue la anestesia mixta, comparada con anestesia regional. Discusión. En la actualidad no existe una definición estandarizada de Déficit Cognitivo Postoperatorio, se ha observado mayor frecuencia y mayor prolongación en pacientes de edad avanzada. El estudio demostró una incidencia temprana significativamente menor, comparándolo con artículos internacionales, pero una incidencia mayor en déficit postoperatorio tardío, resultado de mayores complicaciones intraoperatorias, comparado con otros estudios. Conclusiones. El Déficit Cognitivo Postoperatorio involucra múltiples factores de riesgo; en el estudio se encontró mayor asociación con la edad, la escolaridad, la hipotensión y la anestesia general. No hubo asociación entre comorbilidades y el Déficit Cognitivo Postoperatorio. Se determinó la presencia de hipotensión para desarrollo de este déficit. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Portuguese) Group: Ab Data: Introdujo. No processo de envelhecimento, a maioria dos sistemas orgánicos mantém seu funcionamento basal, mas há uma diminuição da reserva funcional e da capacidade de compensar o estresse fisiológico que toma os pacientes idosos mais sujeitos a complicacocs pós-operatórias. Foi realizado um estudo em instituicocs da cidade de Bucaramanga para determinar a incidencia de déficit cognitivo pós-operatório e os fatores de risco associados. Métodos. Estudo observacional analítico de coorte prospectivo realizado em instituicocs de saúde em Bucaramanga durante o ano de 2017 em pacientes com idade superior a 65 anos operados sob anestesia regional, geral balanceada ou anestesia geral intravenosa. Resultados. Foram estudados 173 pacientes, 112 mulheres (64.74%) e 61 homens (35.26%) operados. As técnicas anestésicas mais utilizadas foram: regional (46.24%) e geral balanceada (44.51%). A incidencia de déficit cognitivo pós-operatório de curto prazo foi de 6.36% em pacientes previamente saudáveis, com um valor P significativo (0.001) ajustado. Detectou- se dctcrioração cognitiva de 51.41% com altcracocs nos dominios da linguagem, atcução e memoria; com aumento na avaliação de longo prazo. No seguimento a longo prazo dos pacientes resultou em 11.55%, determinando a incidencia de déficit cognitivo pós-operatório tardío em 17.91%. A técnica anestésica com maior proporção de déficit no longo prazo foi a anestesia mista, em comparação com a anestesia regional. Discussao. Atualmente nao existe uma dcfinição padronizada de Déficit Cognitivo Pós-operatório, a qual observa-se com maior frequencia e por mais tempo em pacientes idosos. O estudo demonstrou incidencia precoce significativamente menor, em comparação com resultados de artigos intemacionais, mas maior incidencia de déficit pós-operatório tardío, resultado de maiores complicacocs intraoperatórias, em comparação com outros estudos. Conclusoes. O Déficit Cognitivo Pós-operatório envolve múltiplos fatores de risco; o estudo encontrou maior associação com idade, escolaridade, hipotensao e anestesia geral. Nao houve associação entre comorbidades e Déficit Cognitivo Pós-operatório. Determinou-se a presenca de hipotensao para o desenvolvimento desse déficit. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of MedUNAB is the property of Universidad Autonoma de Bucaramanga, UNAB and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.29375/01237047.3711 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 14 StartPage: 450 Subjects: – SubjectFull: GENERAL anesthesia Type: general – SubjectFull: INTRAVENOUS anesthesia Type: general – SubjectFull: PHYSIOLOGICAL stress Type: general – SubjectFull: SURGICAL complications Type: general – SubjectFull: OLDER patients Type: general – SubjectFull: HEALTH facilities Type: general – SubjectFull: BUCARAMANGA (Colombia) Type: general Titles: – TitleFull: Incidencia del déficit cognitivo postoperatorio en anestesia regional y general en una institución de cuarto nivel en Bucaramanga (Santander, Colombia) en el año 2017. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Javier Contreras-Forero, Francisco – PersonEntity: Name: NameFull: Enrique Ochoa, Miguel – PersonEntity: Name: NameFull: Perez, Margarita – PersonEntity: Name: NameFull: Pinillos, Mauricio – PersonEntity: Name: NameFull: Celis, Laura – PersonEntity: Name: NameFull: Sebastián Valencia-Guampe, Jhon – PersonEntity: Name: NameFull: Yaquely Delgado-Pascuaza, Angi IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: dec2020-mar2021 Type: published Y: 2020 Identifiers: – Type: issn-print Value: 01237047 Numbering: – Type: volume Value: 23 – Type: issue Value: 3 Titles: – TitleFull: MedUNAB Type: main |
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