Preoperative Cognitive Impairment as a Predictor of Postoperative Outcomes in Elderly Patients Undergoing Spinal Surgery for Degenerative Spinal Disease
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 (<i>n</i> = 122, >65 years),...
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doaj-2d4219e0e82e43a7bb668fd2b81416602021-03-30T23:03:50ZengMDPI AGJournal of Clinical Medicine2077-03832021-03-01101385138510.3390/jcm10071385Preoperative Cognitive Impairment as a Predictor of Postoperative Outcomes in Elderly Patients Undergoing Spinal Surgery for Degenerative Spinal DiseaseHyung Cheol Kim0Seong Bae An1Hyeongseok Jeon2Tae Woo Kim3Jae Keun Oh4Dong Ah Shin5Seong Yi6Keung Nyun Kim7Phil Hyu Lee8Suk Yun Kang9Yoon Ha10Department of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, KoreaDepartment of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, KoreaDepartment of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, KoreaDepartment of Neurosurgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul 01757, KoreaDepartment of Neurology, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, KoreaDepartment of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, KoreaDepartment of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, KoreaDepartment of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, KoreaDepartment of Neurosurgery, Hallym University Sacred Heart Hospital, 22, Gwanpyeong-ro 170 beon-gil, Dongan-gu, Anyang-si, Gyeonggi-do 14068, KoreaDepartment of Neurology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong 18450, KoreaDepartment of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, KoreaCognitive 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 (<i>n</i> = 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 (<i>p</i> = 0.014) and postoperative cardiopulmonary complications (<i>p</i> = 0.037) significantly differed based on the cognitive status. Operation time (<i>p</i> = 0.049), white blood cell count (<i>p</i> = 0.022), platelet count (<i>p</i> = 0.013), the mini-mental state examination score (<i>p</i> = 0.033), and the Beck Depression Inventory score (<i>p</i> = 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.https://www.mdpi.com/2077-0383/10/7/1385cognitive statusdegenerative spinal diseasegeriatricsMMSE |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
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 |
spellingShingle |
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 Preoperative Cognitive Impairment as a Predictor of Postoperative Outcomes in Elderly Patients Undergoing Spinal Surgery for Degenerative Spinal Disease Journal of Clinical Medicine cognitive status degenerative spinal disease geriatrics MMSE |
author_facet |
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 |
author_sort |
Hyung Cheol Kim |
title |
Preoperative Cognitive Impairment as a Predictor of Postoperative Outcomes in Elderly Patients Undergoing Spinal Surgery for Degenerative Spinal Disease |
title_short |
Preoperative Cognitive Impairment as a Predictor of Postoperative Outcomes in Elderly Patients Undergoing Spinal Surgery for Degenerative Spinal Disease |
title_full |
Preoperative Cognitive Impairment as a Predictor of Postoperative Outcomes in Elderly Patients Undergoing Spinal Surgery for Degenerative Spinal Disease |
title_fullStr |
Preoperative Cognitive Impairment as a Predictor of Postoperative Outcomes in Elderly Patients Undergoing Spinal Surgery for Degenerative Spinal Disease |
title_full_unstemmed |
Preoperative Cognitive Impairment as a Predictor of Postoperative Outcomes in Elderly Patients Undergoing Spinal Surgery for Degenerative Spinal Disease |
title_sort |
preoperative cognitive impairment as a predictor of postoperative outcomes in elderly patients undergoing spinal surgery for degenerative spinal disease |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2021-03-01 |
description |
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 (<i>n</i> = 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 (<i>p</i> = 0.014) and postoperative cardiopulmonary complications (<i>p</i> = 0.037) significantly differed based on the cognitive status. Operation time (<i>p</i> = 0.049), white blood cell count (<i>p</i> = 0.022), platelet count (<i>p</i> = 0.013), the mini-mental state examination score (<i>p</i> = 0.033), and the Beck Depression Inventory score (<i>p</i> = 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. |
topic |
cognitive status degenerative spinal disease geriatrics MMSE |
url |
https://www.mdpi.com/2077-0383/10/7/1385 |
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