The impact of perioperative hyperglycemia on postoperative cognitive function: A comprehensive review

Abstract

Hyperglycemia, commonly triggered by the physiological stress of surgery, is exacerbated by counter-regulatory hormonal responses and can lead to significant complications including Postoperative Cognitive Dysfunction (POCD) and delirium. These conditions not only extend hospitalization and increase healthcare costs but also negatively impact long-term patient well-being. This review addresses multiple objectives by conducting a comprehensive literature review that synthesizes existing research across various surgical disciplines to assess the impact of hyperglycemia on cognitive outcomes. This involves integrating findings from both observational studies and clinical trials to offer a nuanced perspective on the current knowledge landscape. Secondly, it identifies significant gaps in research, including inconsistencies in outcomes and methodological shortcomings. Highlighting these gaps emphasizes the need for a more standardized approach to understanding hyperglycemia's cognitive effects post-surgery. Lastly, the review proposes future research directions, advocating for innovative research methodologies and clinical interventions aimed at mitigating the cognitive impairments associated with perioperative hyperglycemia. By providing an exhaustive examination of these aspects, the review seeks to enhance scholarly discourse and inform clinical practice, ultimately aiming to refine perioperative care protocols. This will protect cognitive functions and improve overall patient outcomes, bridging the gap between theoretical research and practical application, thereby setting the stage for advancements that could transform perioperative management standards.