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Incidence and risk factors of cognitive disorders after urologic endoscopic surgery

Published online by Cambridge University Press:  01 September 2022

M. Dahmen ,
R. Chrigui ,
A. Loghmari ,
M. Soussi ,
S. Mansour ,
K. Bouassida ,
M. Kahloul  and
W. Naija
M. Dahmen
Affiliation:
Sahloul Academic Hospital, University of medicine, “Ibn Al Jazzar”, Sousse, Tunisia, Department Of Anesthesia And Intensive Care,, Sousse, Tunisia
R. Chrigui
Affiliation:
Sahloul Academic Hospital, University of medicine, “Ibn Al Jazzar”, Sousse, Tunisia, Department Of Anesthesia And Intensive Care,, Sousse, Tunisia
A. Loghmari
Affiliation:
University hospital center of Sahloul, Urology Department, Sousse, Tunisia
M. Soussi*
Affiliation:
Sahloul Academic Hospital, University of medicine, “Ibn Al Jazzar”, Sousse, Tunisia, Department Of Anesthesia And Intensive Care,, Sousse, Tunisia
S. Mansour
Affiliation:
Sahloul Academic Hospital, University of medicine, “Ibn Al Jazzar”, Sousse, Tunisia, Department Of Anesthesia And Intensive Care,, Sousse, Tunisia
K. Bouassida
Affiliation:
University hospital center of Sahloul, Urology Department, Sousse, Tunisia
M. Kahloul
Affiliation:
Sahloul Academic Hospital, University of medicine, “Ibn Al Jazzar”, Sousse, Tunisia, Department Of Anesthesia And Intensive Care,, Sousse, Tunisia
W. Naija
Affiliation:
Sahloul Academic Hospital, University of medicine, “Ibn Al Jazzar”, Sousse, Tunisia, Department Of Anesthesia And Intensive Care,, Sousse, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Postoperative cognitive disorders are an emerging public health problem because of its related socio-economic impact.: Postoperative cognitive disorders are an emerging public health problem because of its related socio-economic impact.

Objectives

To determine the incidence and risk factors of cognitive disorders after endoscopic resection in urology.

Methods

This is an observational, descriptive and analytical study carried out in the urology department of Sahloul University Hospital during a 3 month period, and enrolling patients scheduled for endoscopic resections. Collected data included socio-demographic characteristics and parameters related to the operative management. Cognitive disorders were assessed by the MOCA Test one day before the intervention, then, during the first postoperative day. Patients developing TURP syndrome were excluded.

Results

During the study period, 104 patients were enrolled with a mean age of 67.76 years. The sex ratio was 33.6. Main interventions were transurethral resection of bladder tumor and transurethral resection of the prostate.The incidence of cognitive disorders was 45.2% after endoscopic resection. Main Risk factors in multivariate analysis were age (p <10-3), low educational level (p <0.001), sedentary (p <0.001), smoking (p = 0.029), an age gap with spouse> 10 years (p <0.001), high blood pressure (p <0.001), myocardial infarction (p = 0.005); chronic bronchitis (p = 0.002), sleep disorders (p <0.001), preoperative concentration disturbances (p = 0.005), poor quality of patient information (p <0.05), and the type of anesthesia (p = 0.012).

Conclusions

The incidence of cognitive disorders after urologic endoscopic surgery is considerable. Patients with risk factors require preventive measures, regular screening and optimal management.

Disclosure

No significant relationships.

Keywords

-Endoscopique resectionMoCACognitive disordersPostoperative period
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S869
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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