TY - JOUR
T1 - Common neurodegenerative disorders in the perioperative setting
T2 - Recommendations for screening from the Society for Perioperative Assessment and Quality Improvement (SPAQI)
AU - Wiggins, Margaret
AU - Arias, Franchesca
AU - Urman, Richard D.
AU - Richman, Deborah C.
AU - Sweitzer, Bobbie Jean
AU - Edwards, Angela F.
AU - Armstrong, Melissa J.
AU - Chopra, Anita
AU - Libon, David J.
AU - Price, Catherine
N1 - Funding Information:
Funding: This work was supported by the National Institute of Aging (grant no. T32-AG04963 , FA) and the National Institute of Health (grant no. R01 AG055337, CP ; R01 NS082386, CP ; R01 NR014181, CP ). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Aging or the National Institute of Health.
Funding Information:
Funding: This work was supported by the National Institute of Aging (grant no. T32-AG04963, FA) and the National Institute of Health (grant no. R01 AG055337, CP; R01 NS082386, CP; R01 NR014181, CP). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Aging or the National Institute of Health.
Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2020/9
Y1 - 2020/9
N2 - Aging is associated with normal and abnormal brain structural and neuropsychological changes. Due to the expected increase in older adults requiring surgery, perioperative clinicians will be increasingly encountering patients with neurodegenerative disease. To help perioperative clinicians understand signs of abnormal behaviors that may mark an undiagnosed neurodegenerative disorder and alert additional patient monitoring, the Society for Perioperative Assessment and Quality Improvement (SPAQI) worked with experts in dementia, neuropsychology, geriatric medicine, neurology, and anesthesiology to provide a summary of cognitive and behavioral considerations for patients with common neurodegenerative disorders being evaluated at preoperative centers. Patients with neurodegenerative disorders are at high risk for delirium due to known neurochemical disruptions, medication interactions, associated frailty, or vascular risk profiles presenting risk for repeat strokes. We provide basic information on the expected cognitive changes with aging, most common neurodegenerative disorders, and a list of behavioral features and considerations to help differentiate neurodegenerative disorders. Finally, we propose screening recommendations intended for a multidisciplinary team in the perioperative setting.
AB - Aging is associated with normal and abnormal brain structural and neuropsychological changes. Due to the expected increase in older adults requiring surgery, perioperative clinicians will be increasingly encountering patients with neurodegenerative disease. To help perioperative clinicians understand signs of abnormal behaviors that may mark an undiagnosed neurodegenerative disorder and alert additional patient monitoring, the Society for Perioperative Assessment and Quality Improvement (SPAQI) worked with experts in dementia, neuropsychology, geriatric medicine, neurology, and anesthesiology to provide a summary of cognitive and behavioral considerations for patients with common neurodegenerative disorders being evaluated at preoperative centers. Patients with neurodegenerative disorders are at high risk for delirium due to known neurochemical disruptions, medication interactions, associated frailty, or vascular risk profiles presenting risk for repeat strokes. We provide basic information on the expected cognitive changes with aging, most common neurodegenerative disorders, and a list of behavioral features and considerations to help differentiate neurodegenerative disorders. Finally, we propose screening recommendations intended for a multidisciplinary team in the perioperative setting.
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U2 - 10.1016/j.pcorm.2020.100092
DO - 10.1016/j.pcorm.2020.100092
M3 - Review article
AN - SCOPUS:85081411172
VL - 20
JO - Perioperative Care and Operating Room Management
JF - Perioperative Care and Operating Room Management
SN - 2405-6030
M1 - 100092
ER -