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Low preoperative plasma cholinesterase activity as a risk marker of postoperative delirium in elderly patients
Author(s) -
Joaquim Cerejeira,
Pedro Batista,
V. Nogueira,
Horácio Firmino,
Adriano VazSerra,
Elizabeta B. MukaetovaLadinska
Publication year - 2011
Publication title -
age and ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.014
H-Index - 143
eISSN - 1468-2834
pISSN - 0002-0729
DOI - 10.1093/ageing/afr053
Subject(s) - delirium , medicine , butyrylcholinesterase , acetylcholinesterase , cholinesterase , pathophysiology , rivastigmine , cohort , cholinergic , anesthesia , aché , intensive care medicine , dementia , disease , donepezil , enzyme , biochemistry , chemistry
delirium is a frequent neuropsychiatric syndrome affecting medical and surgical elderly patients. Cholinergic dysfunction has been implicated in delirium pathophysiology and plasmatic acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE) activities are suppressed in patients with delirium. In this cohort study, we investigated whether these changes emerge during delirium or whether they are present before its onset.

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