Perioperative neurocognitive disorders (PND) have been studying by clinicians, particularly by anesthesiologists, pretty long, however the most inspiring advancements were achieved during the last few decades. The most recent classification of PND which includes cognitive decline diagnosed before operation (described as neurocognitive disorder); any form of acute event (postoperative delirium) and cognitive decline diagnosed up to 30 days after the procedure (delayed neurocognitive recovery) and up to 12 months (postoperative neurocognitive disorder) was proposed in 2017. However at will one can notice at least one uncertainty that pertinent to the definition of delirium, emergency delirium and not mentioned in the classification discussed agitation. The objective of the study is to determine if there is a difference between emergence agitation and emergence delirium.
Study Type
OBSERVATIONAL
Enrollment
200
Richmond Agitation-Sedation Scale
Confusion Assessment Method for the ICU
Moscow Scientific Clinical Center
Moscow, Russia
Main Military Clinical Hospital n.a. Acad.N. N. Burdenko
Moscow, Russia
frequency of postoperative delirium
Percent of postoperative delirium
Time frame: 5 postoperative day
frequency of postoperative cognitive dysfunction
Percent of postoperative cognitive dysfunction
Time frame: 7 postoperative day
frequency of emergence agitation
Percent of emergence agitation
Time frame: immediately upon emergence from anesthesia
frequency of emergence delirium
Percent of emergence delirium
Time frame: immediately upon emergence from anesthesia
Length of postoperative delirium
Day of the end of postoperative delirium - day of onset of postoperative delirium
Time frame: 5 postoperative day
Length of stay in ICU
From ICU admission to ICU discharge
Time frame: 1 year
Length of hospitalization
From operative day to hospital discharge
Time frame: 1 year
MACE
Cardiac death or Myocardial infarction or Non-fatal cardiac arrest or Coronary revascularization
Time frame: 30 day
MACE
Cardiac death or Myocardial infarction or Non-fatal cardiac arrest or Coronary revascularization
Time frame: 1 year
MACCE
Cardiac death or Myocardial infarction or Non-fatal cardiac arrest or Coronary revascularization or Cerebrovascular accident
Time frame: 30 day
MACCE
Cardiac death or Myocardial infarction or Non-fatal cardiac arrest or Coronary revascularization or Cerebrovascular accident
Time frame: 1 year
30-day mortality
30-day mortality
Time frame: 30 day
1-year mortality
1-year mortality
Time frame: 1 year
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