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Preoperative Cognitive Impairment as a Predictor of Postoperative Outcomes in Elderly Patients Undergoing Spinal Surgery for Degenerative Spinal Disease

Authors
 Hyung Cheol Kim  ;  Seong Bae An  ;  Hyeongseok Jeon  ;  Tae Woo Kim  ;  Jae Keun Oh  ;  Dong Ah Shin  ;  Seong Yi  ;  Keung Nyun Kim  ;  Phil Hyu Lee  ;  Suk Yun Kang  ;  Yoon Ha 
Citation
 JOURNAL OF CLINICAL MEDICINE, Vol.10(7) : 1385, 2021-04 
Journal Title
JOURNAL OF CLINICAL MEDICINE
Issue Date
2021-04
Keywords
MMSE ; cognitive status ; degenerative spinal disease ; geriatrics
Abstract
Cognitive status has been reported to affect the peri-operative and post-operative outcomes of certain surgical procedures. This prospective study investigated the effect of preoperative cognitive impairment on the postoperative course of elderly patients (n = 122, >65 years), following spine surgery for degenerative spinal disease. Data on demographic characteristics, medical history, and blood analysis results were collected. Preoperative cognition was assessed using the mini-mental state examination, and patients were divided into three groups: normal cognition, mild cognitive impairment, and moderate-to-severe cognitive impairment. Discharge destinations (p = 0.014) and postoperative cardiopulmonary complications (p = 0.037) significantly differed based on the cognitive status. Operation time (p = 0.049), white blood cell count (p = 0.022), platelet count (p = 0.013), the mini-mental state examination score (p = 0.033), and the Beck Depression Inventory score (p = 0.041) were significantly associated with the length of hospital stay. Our investigation demonstrated that improved understanding of preoperative cognitive status may be helpful in surgical decision-making and postoperative care of elderly patients with degenerative spinal disease.
Files in This Item:
T202126022.pdf Download
DOI
10.3390/jcm10071385
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Keung Nyun(김긍년)
Kim, Hyung Cheol(김형철)
Shin, Dong Ah(신동아) ORCID logo https://orcid.org/0000-0002-5225-4083
Yi, Seong(이성)
Jeon, Hyeong Seok(전형석)
Ha, Yoon(하윤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190404
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