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After discharge from the hospital, patients who develop postoperative delirium are at increased risk of worsening functional and psychological health, progressive cognitive decline, dementia, and death The study also found that surgical patients undergoing inhalation anaesthesia had a higher risk of dementia than those undergoing noninhalation anaesthesia. Although not as extensively studied as delirium, pocd is associated with a decrease in quality of life, loss of function, and increased mortality.
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The results suggest that either delirium itself may contribute to cognitive decline after surgery or that delirium may serve to identify those at risk for more rapid cognitive decline in the future The onset of dementia may be influenced by various factors, including cell damage from surgery, infection, recent trauma, or adverse medication reactions Further research is needed to examine whether either or both hypotheses best explain the relationship between delirium and cognitive decline.
In the study, 2,014 patients were monitored before and after surgery
Just over 1,660 of them had normal cognitive function After surgery, close to 10 percent were showing signs of mild cognitive impairment. Background the potential relationship between anaesthesia, surgery and onset of dementia remains elusive Aims to determine whether the risk of dementia increases after surgery with anaesthesia, and to evaluate possible associations among age, mode.
[1] in some cases, this disorder may persist for several years after major surgery [2] pocd is distinct from emergence delirium Its causes are under investigation and occurs commonly in older patients and those. Symptoms can appear within hours to weeks after surgery
Why does cognitive decline occur after surgery
The precise causes of pocd remain unclear, but several factors may contribute to cognitive decline following surgery, particularly in older patients
