Cognitive Function after Spinal or General Anesthesia for Transurethral Prostatectomy in Elderly Men
| Autor: | Jack W. van Kleef, J. B. K. Lanser, Onno Js Buruma, Annet C. Moll, Bastiaan R. Bloem, Iris Gf van der Does, Hester M. Elshove, Jaap Zwartendijk, Ronald Brand, Evelien Jt Krul, Joost Haan, Raymund A.C. Roos |
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| Rok vydání: | 1991 |
| Předmět: |
Male
medicine.medical_specialty medicine.drug_class medicine.medical_treatment Prostatic Hyperplasia Anesthesia General Anesthesia Spinal law.invention Transurethral prostatectomy Random Allocation Cognition Randomized controlled trial law medicine Humans Prospective Studies Prospective cohort study Aged Aged 80 and over Prostatectomy Mini–Mental State Examination medicine.diagnostic_test Local anesthetic business.industry Perioperative Middle Aged Surgery Anesthesia Geriatrics and Gerontology business |
| Zdroj: | Journal of the American Geriatrics Society. 39:596-600 |
| ISSN: | 0002-8614 |
| DOI: | 10.1111/j.1532-5415.1991.tb03600.x |
| Popis: | Cognitive functions in 53 elderly men who underwent a transurethral prostatectomy were assessed pre-operatively and 4 days and 3 months post-operatively. Thirteen patients had a preference for one particular type of anesthesia, and the remaining 40 were randomly allocated to receive either spinal or general anesthesia. Cognitive function was not different between the groups receiving different types of anesthesia at either time point and did not decrease post-operatively. No pre- or perioperative variable could distinguish the subgroup of patients who had a post-operative decrease of 2 points or more on the Mini-Mental State Examination. No difference in post-operative performance was found in the patient groups with pre-operative Mini-Mental State Examination scores above or under their age-specific norm. It is concluded that neither hospitalization nor the two forms of anesthesia investigated cause a decrease in cognitive function in elderly men. |
| Databáze: | OpenAIRE |
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