Author:
Suenghataiphorn Thanathip,Songwisit Sakdipat,Tornsatitkul Surapa,Somnuke Pawit
Abstract
Postoperative cognitive dysfunction (POCD) is an event that alarms medical personnel owing to its adverse
effects, including heightened morbidity and mortality rates, prolonged recovery times, and increased lengths of
hospital stay and healthcare expenditure. The populations at high risk are elderly, critical patients, or complicated
cases that need prolonged surgery in which the hemodynamics are not stable. Although guidelines have been
established to facilitate the early diagnosis of POCD, its prevention is recommended for good patient outcomes. A
preoperative assessment is a prerequisite for patient optimization before surgery. Intraoperative, enhanced-recovery
protocols have been widely adopted to promote recovery following surgery. Frequent, postoperative assessments of
patients’ vital signs and cognitive functions are required for early POCD detection. Patients diagnosed with POCD
need regular follow-up, and proper patient counselling is paramount.
Keywords: Diagnostic and Statistical Manual of Mental Disorders (DSM-5);
Publisher
Faculty of Medicine Siriraj Hospital, Mahidol University
Cited by
7 articles.
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