Preoperative MRI brain phenotypes are related to postoperative delirium in older individuals

نویسندگان

چکیده

• Six distinct MRI brain phenotypes were found in older patients scheduled for surgery. A combined analysis of markers could reflect delirium predisposition. multi-burden pathology phenotype shows a higher odds developing delirium. assist the understanding predisposition to The underlying structural correlates postoperative remain largely unknown. preoperative magnetic resonance imaging (MRI) improve our pathophysiology Therefore, we aimed identify different major elective surgery, and assess relation between these Markers neurodegenerative neurovascular changes determined from scans (n = 161, mean age 71, standard deviation 5 years), whom 24 (15%) developed hierarchical cluster was performed. We six groups with phenotypes. Logistic regression showed individuals 15 (9%), ratio (95% confidence interval): 3.8 (1.1–13.0)). In conclusion, results indicate that are related risk after an improved

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Preoperative cerebrospinal fluid β-Amyloid/Tau ratio and postoperative delirium

OBJECTIVE The neuropathogenesis of postoperative delirium remains unknown. Low cerebrospinal fluid (CSF) βamyloid protein (Aβ) and high CSF Tau levels are associated with Alzheimer's disease. We therefore assessed whether lower preoperative CSF Aβ/Tau ratio was associated with higher incidence and greater severity of postoperative delirium. METHODS One hundred and fifty three participants (71...

متن کامل

Preoperative anxiety management, emergence delirium, and postoperative behavior.

Preoperative anxiolysis is important for children scheduled for surgery. The nature of the anxiety depends on several factors, including age, temperament, past hospitalizations, and socioeconomic and ethnic backgrounds. A panoply of interventions effect anxiolysis, including parental presence, distraction, and premedication, although no single strategy is effective for all ages. Emergence delir...

متن کامل

Preoperative medication use and postoperative delirium: a systematic review

BACKGROUND Medications are frequently reported as both predisposing factors and inducers of delirium. This review evaluated the available evidence and determined the magnitude of risk of postoperative delirium associated with preoperative medication use. METHODS A systematic search in Medline and EMBASE was conducted using MeSH terms and keywords for postoperative delirium and medication. Stu...

متن کامل

Preoperative statins are associated with a reduced risk of postoperative delirium following vascular surgery

Delirium is a common complication of vascular surgery. The protective effect of preoperative statins on delirium after vascular surgery is controversial. The authors hypothesized that preoperative statin administration would decrease the incidence of delirium after vascular surgery. From May 2010 to May 2015, 1,132 patients underwent vascular surgery. Postoperative delirium was diagnosed from p...

متن کامل

Cognitive and Brain Reserve and the Risk of Postoperative Delirium in Older Patients.

BACKGROUND Cognitive and brain reserve theories suggest that aspects of neural architecture or cognitive processes modify the impact of neuropathological processes on cognitive outcomes. While frequently studied in the context of dementia, reserve in delirium is relatively understudied. METHODS We examined the association of three markers of brain reserve (head circumference, MRI-derived brai...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Neurobiology of Aging

سال: 2021

ISSN: ['0197-4580', '1558-1497']

DOI: https://doi.org/10.1016/j.neurobiolaging.2021.01.033