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Incidence and risk factors of cognitive disorders after urologic endoscopic surgery
INTRODUCTION: Postoperative cognitive disorders are an emerging public health problem because of its related socio-economic impact.: Postoperative cognitive disorders are an emerging public health problem because of its related socio-economic impact. OBJECTIVES: To determine the incidence and risk f...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568090/ http://dx.doi.org/10.1192/j.eurpsy.2022.2252 |
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author | Dahmen, M. Chrigui, R. Loghmari, A. Soussi, M. Mansour, S. Bouassida, K. Kahloul, M. Naija, W. |
author_facet | Dahmen, M. Chrigui, R. Loghmari, A. Soussi, M. Mansour, S. Bouassida, K. Kahloul, M. Naija, W. |
author_sort | Dahmen, M. |
collection | PubMed |
description | INTRODUCTION: Postoperative cognitive disorders are an emerging public health problem because of its related socio-economic impact.: Postoperative cognitive disorders are an emerging public health problem because of its related socio-economic impact. OBJECTIVES: To determine the incidence and risk factors of cognitive disorders after endoscopic resection in urology. METHODS: This is an observational, descriptive and analytical study carried out in the urology department of Sahloul University Hospital during a 3 month period, and enrolling patients scheduled for endoscopic resections. Collected data included socio-demographic characteristics and parameters related to the operative management. Cognitive disorders were assessed by the MOCA Test one day before the intervention, then, during the first postoperative day. Patients developing TURP syndrome were excluded. RESULTS: During the study period, 104 patients were enrolled with a mean age of 67.76 years. The sex ratio was 33.6. Main interventions were transurethral resection of bladder tumor and transurethral resection of the prostate.The incidence of cognitive disorders was 45.2% after endoscopic resection. Main Risk factors in multivariate analysis were age (p <10-3), low educational level (p <0.001), sedentary (p <0.001), smoking (p = 0.029), an age gap with spouse> 10 years (p <0.001), high blood pressure (p <0.001), myocardial infarction (p = 0.005); chronic bronchitis (p = 0.002), sleep disorders (p <0.001), preoperative concentration disturbances (p = 0.005), poor quality of patient information (p <0.05), and the type of anesthesia (p = 0.012). CONCLUSIONS: The incidence of cognitive disorders after urologic endoscopic surgery is considerable. Patients with risk factors require preventive measures, regular screening and optimal management. DISCLOSURE: No significant relationships. |
format | Online Article Text |
id | pubmed-9568090 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-95680902022-10-17 Incidence and risk factors of cognitive disorders after urologic endoscopic surgery Dahmen, M. Chrigui, R. Loghmari, A. Soussi, M. Mansour, S. Bouassida, K. Kahloul, M. Naija, W. Eur Psychiatry Abstract INTRODUCTION: Postoperative cognitive disorders are an emerging public health problem because of its related socio-economic impact.: Postoperative cognitive disorders are an emerging public health problem because of its related socio-economic impact. OBJECTIVES: To determine the incidence and risk factors of cognitive disorders after endoscopic resection in urology. METHODS: This is an observational, descriptive and analytical study carried out in the urology department of Sahloul University Hospital during a 3 month period, and enrolling patients scheduled for endoscopic resections. Collected data included socio-demographic characteristics and parameters related to the operative management. Cognitive disorders were assessed by the MOCA Test one day before the intervention, then, during the first postoperative day. Patients developing TURP syndrome were excluded. RESULTS: During the study period, 104 patients were enrolled with a mean age of 67.76 years. The sex ratio was 33.6. Main interventions were transurethral resection of bladder tumor and transurethral resection of the prostate.The incidence of cognitive disorders was 45.2% after endoscopic resection. Main Risk factors in multivariate analysis were age (p <10-3), low educational level (p <0.001), sedentary (p <0.001), smoking (p = 0.029), an age gap with spouse> 10 years (p <0.001), high blood pressure (p <0.001), myocardial infarction (p = 0.005); chronic bronchitis (p = 0.002), sleep disorders (p <0.001), preoperative concentration disturbances (p = 0.005), poor quality of patient information (p <0.05), and the type of anesthesia (p = 0.012). CONCLUSIONS: The incidence of cognitive disorders after urologic endoscopic surgery is considerable. Patients with risk factors require preventive measures, regular screening and optimal management. DISCLOSURE: No significant relationships. Cambridge University Press 2022-09-01 /pmc/articles/PMC9568090/ http://dx.doi.org/10.1192/j.eurpsy.2022.2252 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstract Dahmen, M. Chrigui, R. Loghmari, A. Soussi, M. Mansour, S. Bouassida, K. Kahloul, M. Naija, W. Incidence and risk factors of cognitive disorders after urologic endoscopic surgery |
title | Incidence and risk factors of cognitive disorders after urologic endoscopic surgery |
title_full | Incidence and risk factors of cognitive disorders after urologic endoscopic surgery |
title_fullStr | Incidence and risk factors of cognitive disorders after urologic endoscopic surgery |
title_full_unstemmed | Incidence and risk factors of cognitive disorders after urologic endoscopic surgery |
title_short | Incidence and risk factors of cognitive disorders after urologic endoscopic surgery |
title_sort | incidence and risk factors of cognitive disorders after urologic endoscopic surgery |
topic | Abstract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568090/ http://dx.doi.org/10.1192/j.eurpsy.2022.2252 |
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