需要心脏手术的成人围手术期神经认知障碍:筛查、预防和管理。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-03-01 DOI:10.1177/10892532221127812

Kimberly F Rengel, Christina S Boncyk, Daniella DiNizo, Christopher G Hughes

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引用次数: 4

摘要

神经认知改变是心脏手术后最常见的并发症，从急性术后谵妄到术后延长的神经认知障碍。认知的改变对患者和家属来说是痛苦的，并且总体上与更糟糕的结果有关。本文概述了围手术期神经认知障碍的定义、诊断标准、危险因素和机制，并提出了围手术期神经认知并发症的术前筛查和预防及处理策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Perioperative Neurocognitive Disorders in Adults Requiring Cardiac Surgery: Screening, Prevention, and Management.

Neurocognitive changes are the most common complication after cardiac surgery, ranging from acute postoperative delirium to prolonged postoperative neurocognitive disorder. Changes in cognition are distressing to patients and families and associated with worse outcomes overall. This review outlines definitions and diagnostic criteria, risk factors for, and mechanisms of Perioperative Neurocognitive Disorders and offers strategies for preoperative screening and perioperative prevention and management of neurocognitive complications.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.