State of the clinical science of perioperative brain health: report from the American Society of Anesthesiologists Brain Health Initiative Summit 2018.

Aged Aged, 80 and over Anesthesia / adverse effects Anesthesiology Brain / physiopathology Cognition Disorders / physiopathology Emergence Delirium / physiopathology Health Status Humans Risk Factors
anaesthesia delirium geriatrics neurocognitive disorders perioperative brain health postoperative cognitive dysfunction postoperative complications

Journal

British journal of anaesthesia
ISSN: 1471-6771
Titre abrégé: Br J Anaesth
Pays: England
ID NLM: 0372541

Informations de publication

Date de publication:
10 2019
Historique:
received: 06 03 2019
revised: 25 06 2019
accepted: 02 07 2019
pubmed: 24 8 2019
medline: 21 9 2019
entrez: 24 8 2019
Statut: ppublish

Résumé

Cognitive recovery after anaesthesia and surgery is a concern for older adults, their families, and caregivers. Reports of patients who were 'never the same' prompted a scientific inquiry into the nature of what patients have experienced. In June 2018, the ASA Brain Health Initiative held a summit to discuss the state of the science on perioperative cognition, and to create an implementation plan for patients and providers leveraging the current evidence. This group included representatives from the AARP (formerly the American Association of Retired Persons), American College of Surgeons, American Heart Association, and Alzheimer's Association Perioperative Cognition and Delirium Professional Interest Area. This paper summarises the state of the relevant clinical science, including risk factors, identification and diagnosis, prognosis, disparities, outcomes, and treatment of perioperative neurocognitive disorders. Finally, we discuss gaps in current knowledge with suggestions for future directions and opportunities for clinical and translational projects.

Identifiants

DOI: 10.1016/j.bja.2019.07.004 PMID: 31439308 PMC: PMC6871269
pubmed: 31439308
pii: S0007-0912(19)30556-2
doi: 10.1016/j.bja.2019.07.004
pmc: PMC6871269
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

464-478

Subventions

Organisme : NIGMS NIH HHS
ID : T32 GM112596
Pays : United States

Commentaires et corrections

Type : ErratumIn
Type : CommentIn

Informations de copyright

Copyright © 2019 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.

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Auteurs

Elizabeth Mahanna-Gabrielli (E)

Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.

Katie J Schenning (KJ)

Oregon Health & Science University, Portland, OR, USA.

Lars I Eriksson (LI)

Department of Physiology and Pharmacology, Section for Anaesthesiology and Intensive Care, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.

Jeffrey N Browndyke (JN)

Geriatric Behavioral Health Division, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center and Duke Institute for Brain Sciences, Duke University, Durham, NC, USA.

Clinton B Wright (CB)

National Institute of Neurological Disorders, Bethesda, MD, USA.

Deborah J Culley (DJ)

Lis Evered (L)

Department of Anaesthesia and Acute Pain Medicine, St Vincent's Hospital Melbourne, Melbourne Medical School, University of Melbourne, Melbourne, Victoria, Australia.

David A Scott (DA)

Department of Anaesthesia and Acute Pain Medicine, St Vincent's Hospital Melbourne, Melbourne Medical School, University of Melbourne, Melbourne, Victoria, Australia.

Nae Yah Wang (NY)

Department of Medicine, Biostatistics, and Epidemiology, Department of Anesthesiology and Critical Care Medicine, and Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Charles H Brown (CH)

Department of Medicine, Biostatistics, and Epidemiology, Department of Anesthesiology and Critical Care Medicine, and Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Esther Oh (E)

Department of Medicine, Biostatistics, and Epidemiology, Department of Anesthesiology and Critical Care Medicine, and Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Patrick Purdon (P)

Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.

Sharon Inouye (S)

Aging Brain Center at the Hinda and Arthur Marcus Institute for Aging Research, Hebrew Senior Life, Harvard Medical School, Beth Israel Deaconess, Boston, MA, USA.

Miles Berger (M)

Department of Anesthesiology, Duke Center for Cognitive Neuroscience, Duke Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC, USA.

Robert A Whittington (RA)

Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.

Catherine C Price (CC)

Stacie Deiner (S)

Departments of Anesthesiology, Perioperative and Pain Medicine, Geriatrics and Palliative Care, and Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: stacie.deiner@mountsinai.org.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › State of the clinical science of perioperative...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Sujet âgé de 80 ans ou plus › State of the clinical science of perioperative...
questionsmedicales.fr › Anesthésie et analgésie › Anesthésie › State of the clinical science of perioperative...
questionsmedicales.fr › Professions de santé › Médecine › Anesthésiologie › State of the clinical science of perioperative...
questionsmedicales.fr › Système nerveux › Système nerveux central › Encéphale › State of the clinical science of perioperative...
questionsmedicales.fr › Troubles mentaux › Troubles neurocognitifs › Troubles de la cognition › State of the clinical science of perioperative...
questionsmedicales.fr › Troubles mentaux › Troubles neurocognitifs › Délire avec confusion › Délire d'émergence › State of the clinical science of perioperative...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › State of the clinical science of perioperative...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › State of the clinical science of perioperative...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Facteurs de risque › State of the clinical science of perioperative...