Detection of Postoperative Cognitive Dysfunction by Telemedicine Among Octogenarian Patients Who Underwent Minor Elective Surgery, Prospective Cohort Study
1
Issued Date
2022-02-01
Resource Type
eISSN
22288082
Scopus ID
2-s2.0-85125248865
Journal Title
Siriraj Medical Journal
Volume
74
Issue
2
Start Page
126
End Page
133
Rights Holder(s)
SCOPUS
Bibliographic Citation
Siriraj Medical Journal Vol.74 No.2 (2022) , 126-133
Suggested Citation
Suesat H. Detection of Postoperative Cognitive Dysfunction by Telemedicine Among Octogenarian Patients Who Underwent Minor Elective Surgery, Prospective Cohort Study. Siriraj Medical Journal Vol.74 No.2 (2022) , 126-133. 133. doi:10.33192/Smj.2022.16 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/86132
Title
Detection of Postoperative Cognitive Dysfunction by Telemedicine Among Octogenarian Patients Who Underwent Minor Elective Surgery, Prospective Cohort Study
Author(s)
Other Contributor(s)
Abstract
Objective: Postoperative cognitive dysfunction (POCD) is associated with permanent disability, increased mortality, and diminished quality of life. The incidence of acute POCD among geriatric patients who have undergone minor surgery is uncertain because they are typically discharged before acute POCD is detected. Owing to the efficient postoperative care that can be provided, telemedicine is an attractive tool to investigate POCD. The primary objective of our research was to explore the incidence of acute POCD, while its secondary objective was to describe the consequences of POCD on functional recovery and quality of life. Materials and Methods: This prospective cohort study enrolled patients aged ≥ 80 years and scheduled for minor elective surgery. During pre-anesthetic visits, we installed a telecommunications program on the patients’ smartphones. Assessments of cognitive and other functions were performed preoperatively and 1 week postoperatively via telemedicine. Results: Forty octogenarian patients undergoing minor surgery were included in the final analysis. The acute- POCD incidence was 10% (95% CI 4.79-18.39). Recall memory was the main cognitive domain impaired after the procedures. Nevertheless, there were no significant differences in the functional recovery and quality of life of the POCD and non-POCD patients. Conclusion: The acute-POCD patients demonstrated minor symptoms that were unrelated to delayed postoperative functional recovery or decreased quality of life.