Open AccessRecent advances and perspectives of postoperative neurological disorders in the elderly surgical patients
Author(s) -
Liu Biying,
Huang Dan,
Guo Yunlu,
Sun Xiaoqiong,
Chen Caiyang,
Zhai Xiaozhu,
Jin Xia,
Zhu Hui,
Li Peiying,
Yu Weifeng
Publication year - 2022
Publication title -
cns neuroscience and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.403
H-Index - 69
eISSN - 1755-5949
pISSN - 1755-5930
DOI - 10.1111/cns.13763
Subject(s) - medicine , delirium , intensive care medicine , etiology , stroke (engine) , postoperative cognitive dysfunction , cognitive impairment , population , cognition , psychiatry , mechanical engineering , environmental health , engineering
Postoperative neurological disorders, including postoperative delirium (POD), postoperative cognitive dysfunction (POCD), postoperative covert ischemic stroke, and hemorrhagic stroke, are challenging clinical problems in the emerging aged surgical population. These disorders can deteriorate functional outcomes and long‐term quality of life after surgery, resulting in a substantial social and financial burden to the family and society. Understanding predisposing and precipitating factors may promote individualized preventive treatment for each disorder, as several risk factors are modifiable. Besides prevention, timely identification and treatment of etiologies and symptoms can contribute to better recovery from postoperative neurological disorders and lower risk of long‐term cognitive impairment, disability, and even death. Herein, we summarize the diagnosis, risk factors, prevention, and treatment of these postoperative complications, with emphasis on recent advances and perspectives.