Changes in Nomenclature for Perioperative Cognitive Disorders

Share this content:
Changes in Nomenclature for Perioperative Cognitive Disorders
Changes in Nomenclature for Perioperative Cognitive Disorders

MONDAY, Oct. 22, 2018 (HealthDay News) -- Recommendations have been developed for nomenclature of cognitive changes associated with anesthesia and surgery; the recommendations were published in the November issue of Anesthesiology.

Lis Evered, Ph.D., from St. Vincent's Hospital in Melbourne, Australia, and colleagues developed terminology similar to that used in cognitive classifications of the general population for use in investigations of cognitive changes after anesthesia and surgery. A multispecialty working group followed a modified Delphi procedure to develop the classifications.

The authors note that the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5), and the National Institute for Aging and Alzheimer's Association classification guidelines are used outside of anesthesia and surgery. The DSM-5 nomenclature of neurocognitive disorder is recommended for clinical purposes, with the term "perioperative neurocognitive disorders" recommended as an overarching term for cognitive impairment identified in the preoperative or postoperative period. This definition can include cognitive impairment diagnosed preoperatively (neurocognitive disorder), acute events (postoperative delirium), and cognitive decline diagnosed up to 30 days postoperatively (delayed neurocognitive recovery) and up to 12 months (postoperative neurocognitive disorder).

"These changes in nomenclature will allow physician anesthesiologists and other medical providers to speak the same language when it comes to postoperative cognitive changes in the elderly," a coauthor said in a statement. "It will help clinicians discuss patient risk and prognosis."

Several authors disclosed financial ties to pharmaceutical and medical device companies.

Abstract/Full Text

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

FDA: Gout Drug Uloric Increases Risk of Death

FDA: Gout Drug Uloric Increases Risk of Death

Medication is associated with increased risk of heart-related death and death from all causes

Since Early 2000s, Overdose Death Rates Are Highest in U.S.

Since Early 2000s, Overdose Death Rates Are Highest ...

U.S. was not an outlier in terms of drug overdose mortality prior to the early 2000s

National Health Spending Set to Increase 5.5 Percent Annually

National Health Spending Set to Increase 5.5 Percent ...

Long-observed demographic and economic factors expected to drive growth in health spending

is free, fast, and customized just for you!




Already a member?

Sign In Now »